| Andrew Joseph Dettore, DO | |
|
23050 West Rd, Ste. 110, Brownstown Twp, MI 48183-1472 | |
| (734) 671-9800 | |
| (734) 671-7690 |
| Full Name | Andrew Joseph Dettore |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 23050 West Rd, Brownstown Twp, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649489808 | NPI | - | NPPES |
| 5821561 | Other | BCBS | |
| 5199923 | Medicaid | MI | |
| 6U9940 | Other | HAP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 5101014925 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Joseph Dettore, DO 23125 Wagonwheel Dr, Brownstown Twp, MI 48183-1160 Ph: (248) 981-5769 | Andrew Joseph Dettore, DO 23050 West Rd, Ste. 110, Brownstown Twp, MI 48183-1472 Ph: (734) 671-9800 |
Melissa Wylie, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 23050 West Rd, Suite 110, Brownstown Twp, MI 48183 Phone: 734-671-9800 Fax: 734-671-7690 | |
Susan Kay Kowalski, CPNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 23050 West Rd Ste 110, Brownstown Twp, MI 48183 Phone: 734-671-9800 | |
Dionisia Atienza Sy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 23050 West Rd, Suite 110, Brownstown Twp, MI 48183 Phone: 734-671-9800 Fax: 734-671-7690 |