Andrew Joseph Dettore
D.O. | Pediatrics | Male
Andrew Joseph Dettore, D.O. is a Brownstown Twp, Michigan based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Andrew Joseph Dettore is
23050 West Rd, Ste. 110, Brownstown Twp, Michigan - 48183-1472. He can be contacted on phone at
734-671-9800 and fax number 734-671-7690.
Andrew Joseph Dettore is a sole proprietor of his business.
NPI number (Unique professional ID) for Andrew Joseph Dettore is
1649489808 which was assigned by NPPES on 22 May, 2007 and it was last updated on 27 Feb, 2014.
Andrew Joseph Dettore license number is
5101014925 for Pediatrics (208000000X) in Michigan.
Andrew Joseph Dettore is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Andrew Joseph Dettore basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Andrew Joseph Dettore |
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| Credential : | D.O. |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Andrew Joseph Dettore address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 23050 West Rd, Ste. 110
Brownstown Twp, MI, 48183-1472
United States |
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| Phone Number : | 734-671-9800 |
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| Fax Number : | 734-671-7690 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1649489808 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 22 May, 2007 |
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| Last Updated On : | 27 Feb, 2014 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Andrew Joseph Dettore are as mentioned. Primary taxonomy code for Andrew Joseph Dettore, D.O. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 5101014925 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Andrew Joseph Dettore such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 6U9940 | Other | | HAP |
| 5199923 | MEDICAID | MI | |
| 5821561 | Other | | BCBS |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 23125 Wagonwheel Dr
Brownstown Twp, MI, 48183-1160
United States |
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| Phone Number : | 248-981-5769 |
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Business Location:
Patients can refer following map for directions to
Andrew Joseph Dettore practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.