Dr SAMUEL DEAN DETWEILER is a male medical professional, specializing in Family Medicine. He graduated in 1981.
ST. MARY'S HEALTHCARE
380 GUY PARK AVE
AMSTERDAM
NY
120101055
Tel: 5188417415
| Npi | 1437299237 |
| Pac Id | 6103979489 |
| Professional Enrollment Id | I20090804000421 |
| Last Name | DETWEILER |
| First Name | SAMUEL |
| Middle Name | DEAN |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1981 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | GENERAL PRACTICE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | GENERAL PRACTICE |
| Organization Legal Name | ST. MARY'S HEALTHCARE |
| Group Practice Pac Id | 7618960709 |
| Number Of Group Practice Members | 81 |
| Line 1 Street Address | 380 GUY PARK AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | AMSTERDAM |
| State | NY |
| Zip Code | 120101055 |
| Phone Number | 5188417415 |
| Hospital Affiliation Ccn 1 | 330047 |
| Hospital Affiliation Lbn 1 | ST MARY'S HEALTHCARE |
| Hospital Affiliation Ccn 2 | 330276 |
| Hospital Affiliation Lbn 2 | NATHAN LITTAUER HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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