ABBY M DETTMER (NPI# 1891706263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891706263 |
| Entity Type | Individual |
| Full Name | ABBY M DETTMER |
| Credential | DO |
| Practice Address |
501 State St N Waseca MN 56093-2811 |
| Practice Telephone | 5078351210 |
| Practice Fax Number | 5078374278 |
| Mailing Telephone | 5078351210 |
| Mailing Fax Number | 5078374278 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2008-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | R-7613 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0478677 | 05 |
| Street Address |
501 STATE ST N |
| City | WASECA |
| State | MN |
| Zip Code | 56093-2811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154316248 | Lori R Schumacher | Physician Assistant | 501 State St N, Waseca, MN 56093-2811 | 2005-09-14 |
| 1902468507 | Luke Crance | Physician Assistant | 501 State St N, Waseca, MN 56093-2811 | 2019-07-03 |
| 1962919365 | Abigail Ann Bartz | Nurse Practitioner | 501 State St N, Waseca, MN 56093-2811 | 2018-01-07 |
| 1023520269 | Regan Marie Kriechbaum | Physical Therapist | 501 State St N, Waseca, MN 56093-2811 | 2017-10-27 |
| 1265943914 | Ryan Craig Buchele | Physical Therapist | 501 State St N, Waseca, MN 56093-2811 | 2017-10-21 |
| 1801307574 | Kelsey Nicole Raddawi | Physical Therapist | 501 State St N, Waseca, MN 56093-2811 | 2017-10-20 |
| 1053822734 | Elizabeth Thon | Physical Therapist | 501 State St N, Waseca, MN 56093-2811 | 2017-10-20 |
| 1710498506 | Joshua Douglas Berndt | Physical Therapist | 501 State St N, Waseca, MN 56093-2811 | 2017-10-19 |
| 1639607344 | Everett Russell Kalcec | Family Medicine | 501 State St N, Waseca, MN 56093-2811 | 2017-05-24 |
| 1518494251 | Mayo Clinic Health System-southwest Minnesota Region | Clinic/Center | 501 State St N, Waseca, MN 56093-2811 | 2017-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437789781 | Anita Mae Thompson | Technician | 41306 120th St, Waseca, MN 56093 | 2020-01-24 |
| 1124572490 | Jordan Wong | Dentist | 1000 Sw University Dr, Waseca, MN 56093 | 2016-08-04 |
| 1952649451 | Alee Services | In Home Supportive Care | 37437 Highway 13 N., Waseca, MN 56093 | 2013-01-18 |
| 1437206679 | John Max Gutfleisch | Optometrist | 1111 2nd St Ne, Waseca, MN 56093 | 2007-01-03 |
| 1275610008 | David Anthony Arnfelt | Chiropractor | 1501 North State St, Waseca, MN 56093 | 2006-11-01 |
| 1639284847 | Rebecca R Thompson | Dentist | 1504 4th St. Ne, Waseca, MN 56093 | 2006-08-20 |
| 1144264938 | Timothy Jon Flor | Dentist | 1505 North State Street, Waseca, MN 56093 | 2006-06-15 |
| 1942277165 | Sandra J. Lauring | Family Medicine | Waseca Medical Center - Mayo Health System, 501 N State St, Waseca, MN 56093 | 2006-03-07 |
| 1740256668 | Mayo Clinic Health System-southwest Minnesota Region | General Acute Care Hospital | 501 North State Street, Waseca, MN 56093 | 2006-02-28 |
| 1356792808 | Mayo Clinic Health System | Clinic/Center | 501 N State St, Waseca, MN 56093 | 2016-06-27 |
| Find all providers in zip 56093 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467636027 | James William Dey | Family Medicine | 1000 Sw University Drive, Waseca, MN 56093-0741 | 2007-12-19 |
| 1942277165 | Sandra J. Lauring | Family Medicine | Waseca Medical Center - Mayo Health System, 501 N State St, Waseca, MN 56093 | 2006-03-07 |
| 1639607344 | Everett Russell Kalcec | Family Medicine | 501 State St N, Waseca, MN 56093-2811 | 2017-05-24 |
| 1851702112 | Lisa M Hayes | Family Medicine | 501 State St N, Waseca, MN 56093-2811 | 2014-05-08 |
| 1194010041 | Troy Nathaniel Benson | Family Medicine | 501 State St N, Waseca, MN 56093-2811 | 2011-06-17 |
| 1235210659 | Daniel R. Stahl | Family Medicine | 501 N State St, Waseca Medical Center - Mayo Health System, Waseca, MN 56093-0000 | 2006-10-19 |
| 1245341742 | Christopher R Schimming | Family Medicine | 501 State St N, Waseca, MN 56093 | 2006-08-31 |
| 1730130113 | David A Pope | Family Medicine | 501 N State St, Waseca Medical Center - Mayo Health System, Waseca, MN 56093-2811 | 2006-05-12 |
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| 1245862697 | North Iowa Mercy Clinics | Family Medicine | 2440 Bridge Ave, Albert Lea, MN 56007-2005 | 2020-02-04 |
| 1477196715 | The Doctors Medical Clinic, P.a. | Family Medicine | 1504 Whitebear Ave, St Paul, MN 55106 | 2019-10-18 |
| 1699336511 | Ruth Archibald | Family Medicine | 6962 Cottonwood Ct Nw, Rochester, MN 55901-8835 | 2019-06-21 |
| 1295399251 | Roberta Lynn Kopel | Family Medicine | 1605 W Lincoln Ave, Olivia, MN 56277-1260 | 2019-04-25 |
| 1558834390 | Donna Mae Mullenix | Family Medicine | 2849 Cty Rd 103, Barnum, MN 55707 | 2019-01-04 |
| 1083189203 | Altru Health System | Family Medicine | 23076 347th Street Se, Erskine, MN 56535-9466 | 2018-10-04 |
| 1477039204 | Dollar Clinic Pllc | Family Medicine | 1002 1st Ave N, Moorhead, MN 56560-2003 | 2018-07-16 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.