DR. ROBERT WAYNE DETTMER M.D. NPI 1326319724

NPI Information

NPI: 1326319724
Provider Name: DR. ROBERT WAYNE DETTMER, M.D.
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

Address:
2935 AMBLESIDE WAY
FORT WAYNE, IN
ZIP 46804
Phone: (260) 459-7657
Get Directions

DR. Robert Wayne Dettmer, M.D. is a nephrology internal medicine in Fort Wayne, IN. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. Robert Wayne Dettmer, M.D. NPI is 1326319724. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2935 AMBLESIDE WAY
FORT WAYNE, IN
ZIP 46804-443
Phone: (260) 459-7657
Fax: (260) 459-7658

The enumeration date for this NPI number is 1/18/2012 and was last updated on 1/18/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology	01022140A	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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