DR. DAVID G DETERT (NPI# 1902872641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902872641 |
| Entity Type | Individual |
| Full Name | DR. DAVID G DETERT |
| Credential | MD |
| Practice Address |
1705 N Highway 20 Cannon Falls MN 55009-1187 |
| Mailing Address |
Po Box 441 520 South Sibley Ave Litchfield MN 55355 |
| Practice Telephone | 5072883443 |
| Practice Fax Number | 5075296622 |
| Mailing Telephone | 3206933233 |
| Mailing Fax Number | 3206933290 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2014-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 23504 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 467805200 | 05 |
| Street Address |
1705 N HIGHWAY 20 |
| City | CANNON FALLS |
| State | MN |
| Zip Code | 55009-1187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952813784 | Curtis John Beissel | Physical Therapist | 32021 Count 24 Blvd, Cannon Falls, MN 55009 | 2017-11-02 |
| 1316399330 | Amy Lee Mcalister | Nurse Practitioner | 32021 County Rd 24 Blvd., Cannon Falls, MN 55009 | 2016-07-02 |
| 1265773295 | Gregory Marcus Schwartz | Pharmacist | 108 North 4th, Cannon Falls, MN 55009 | 2013-03-15 |
| 1184637753 | Mark J Juetten | Dentist | 31378 Co 24 Blvd, Cannon Falls, MN 55009 | 2006-08-14 |
| 1063435410 | Mayo Clinic Health System-southeast Minnesota Region | General Acute Care Hospital | 32021 County Road 24 Blvd., Cannon Falls, MN 55009 | 2006-07-26 |
| 1497711089 | Nadia Maradiaga Weber | Dentist | 925 4th Street South, Cannon Falls, MN 55009 | 2006-04-24 |
| 1881997070 | Weber Family Dentistry LLC | Dentist | 925 4th Street South, Cannon Falls, MN 55009 | 2010-12-10 |
| 1790791077 | Mayo Clinic Health System-southeast Minnesota Region | Medicare Defined Swing Bed Unit | 32021 County Road 24 Blvd., Cannon Falls, MN 55009 | 2006-07-31 |
| 1164489266 | Gregory Stephen Weber | Dentist | 925 4th Street South, Cannon Falls, MN 55009 | 2006-05-01 |
| 1093377038 | Amanda Claire Rowles | Registered Nurse | 720 River Rd, Cannon Falls, MN 55009-1441 | 2019-06-30 |
| Find all providers in zip 55009 | ||||
| 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 |
|---|---|---|---|---|
| 1407086291 | Jeffery S Wheeler | Family Medicine | 32021 County 24 Blvd, Cannon Falls, MN 55009-5003 | 2009-07-15 |
| 1356369201 | Alice Rosalie Suchomel | Family Medicine | 1122 Mill St W, Cannon Falls, MN 55009-1824 | 2006-07-18 |
| 1205023686 | Alexander W Stricker | Family Medicine | 1116 Mill St W, Cannon Falls, MN 55009-1824 | 2007-09-28 |
| 1033317730 | Megan Susan Johnston Flanders | Family Medicine | 1116 Mill St W, Cannon Falls, MN 55009-1824 | 2007-07-05 |
| 1134143175 | Gail Mae Olson | Family Medicine | 1116 Mill St W, Cannon Falls, MN 55009-1824 | 2006-07-26 |
| 1790703551 | Tarlochan Singh Turna | Family Medicine | 1116 Mill St W, Cannon Falls, MN 55009-1824 | 2006-07-18 |
| 1376500959 | Thomas W Nordahl | Family Medicine | 1116 Mill St W, Cannon Falls, MN 55009-1824 | 2006-04-27 |
| 1457312662 | Brian Lee Whited | Family Medicine | 1116 Mill St W, Cannon Falls, MN 55009-1824 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295349280 | Anna Dalrymple | Family Medicine | 3832 Mcknight Rd N, White Bear Lake, MN 55110-4874 | 2020-09-07 |
| 1760005771 | Revive Pain Centers Pa | Family Medicine | 14525 Highway 7 Ste 375, Minnetonka, MN 55345-3741 | 2020-05-26 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | CANNON FALLS |
| Zip Code | 55009 |
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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.