Dr TODD M DETWILER MD is a male medical professional, specializing in Family Medicine. He graduated in 1993 from University Of Kansas School Of Medicine.
COTTON ONEIL CLINIC REVOCABLE TRUST
1301 W 12TH AVE
SUITE 401
EMPORIA
KS
668012591
Tel: 6203432900
| Npi | 1396796181 |
| Pac Id | 4486692019 |
| Professional Enrollment Id | I20050422000824 |
| Last Name | DETWILER |
| First Name | TODD |
| Middle Name | M |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | FAMILY MEDICINE |
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| Organization Legal Name | COTTON ONEIL CLINIC REVOCABLE TRUST |
| Group Practice Pac Id | 5496659195 |
| Number Of Group Practice Members | 504 |
| Line 1 Street Address | 1301 W 12TH AVE |
| Line 2 Street Address | SUITE 401 |
| Marker Of Address Line 2 Suppression | |
| City | EMPORIA |
| State | KS |
| Zip Code | 668012591 |
| Phone Number | 6203432900 |
| Hospital Affiliation Ccn 1 | 171384 |
| Hospital Affiliation Lbn 1 | NEWMAN REGIONAL HEALTH |
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| Professional Accepts Medicare Assignment | Y |
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