Geoffrey R Detolve
MD | Pediatrics | Male
Geoffrey R Detolve, MD is a Kalamazoo, Michigan based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Geoffrey R Detolve is
601 John St, Suite E352, Kalamazoo, Michigan - 49007-5341. He can be contacted on phone at
269-341-8986 and fax number 269-341-6236.
Geoffrey R Detolve is a sole proprietor of his business.
NPI number (Unique professional ID) for Geoffrey R Detolve is
1184604795 which was assigned by NPPES on 19 Jan, 2006 and it was last updated on 17 Nov, 2014.
Geoffrey R Detolve license number is
4301064382 for Pediatrics (208000000X) in Michigan.
Geoffrey R Detolve 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:
Geoffrey R Detolve basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Geoffrey R Detolve |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Geoffrey R Detolve 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 : | 601 John St, Suite E352
Kalamazoo, MI, 49007-5341
United States |
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| Phone Number : | 269-341-8986 |
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| Fax Number : | 269-341-6236 |
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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 : | 1184604795 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 19 Jan, 2006 |
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| Last Updated On : | 17 Nov, 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 Geoffrey R Detolve are as mentioned. Primary taxonomy code for Geoffrey R Detolve, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 4301064382 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Geoffrey R Detolve such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1417961137 | Other | MI | BCBSM - BMH TAX ID# 38-1359087 |
| 1184604795 | MEDICAID | MI | |
| 4385657 | MEDICAID | MI | |
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 : | 601 John St, Suite E352
Kalamazoo, MI, 49007-5341
United States |
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| Phone Number : | 269-341-8986 |
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| Fax Number : | 269-341-6236 |
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Business Location:
Patients can refer following map for directions to
Geoffrey R Detolve 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.