Mr Alan Jay Dettmer, PT - Physical Therapist in Grand Rapids, MN

Mr Alan Jay Dettmer, PT is a Physical Therapist based in Grand Rapids, Minnesota. Mr Alan Jay Dettmer is licensed to practice in Minnesota (license number 7152) and his current practice location is 102 Donovan Dr, Grand Rapids, Minnesota. He can be reached at his office (for appointments etc.) via phone at (218) 259-2143.

NPI number for Mr Alan Jay Dettmer is 1962479436 and his current mailing address is 102 Donovan Dr, Grand Rapids, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962479436.

Contact Information

Mr Alan Jay Dettmer, PT
102 Donovan Dr,
Grand Rapids, MN 55744
(218) 259-2143
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Alan Jay Dettmer
GenderMale
SpecialityPhysical Therapist
Location102 Donovan Dr, Grand Rapids, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1962479436
  • Provider Enumeration Date: 03/03/2006
  • Last Update Date: 02/14/2014

Medical Identifiers

Medical identifiers for Mr Alan Jay Dettmer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962479436NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 7152 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Alan Jay Dettmer is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Alan Jay Dettmer, PT
102 Donovan Dr,
Grand Rapids, MN 55744

Ph: (218) 259-2143
Mr Alan Jay Dettmer, PT
102 Donovan Dr,
Grand Rapids, MN 55744

Ph: (218) 259-2143

Reviews and Comments


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