Most Relevant Information
Provider Data
| NPI Number: | 1003280298 |
| Provider Name: | FREDERICK GUSTAV DETTMANN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 261QA0006X |
| Specialty: | Clinic/Center |
| License Number: | 25333 |
Most Important Dates
| Enumeration Date: | 11/25/2015 |
| Last Updated: | 11/25/2015 |
Provider Practice Location
4801 N 68TH ST
SCOTTSDALE
AZ
852511143
Practice Location Phone/Fax
| Phone: | 4804813076 |
| Fax: | 4804819208 |
Provider Mailing Location
4801 N 68TH ST
SCOTTSDALE
AZ
852511143
Provider Mailing Phone/Fax
| Phone: | 4804813076 |
| Fax: | 4804819208 |