Kirk Austin Dettloff, MD
Physical Medicine & Rehabilitation in Ann Arbor, MI. Individual provider (NPI-1).
NPI number1346852464
StatusActive
Last updated in NPPESJul 3, 2025
Details
- NPI
- 1346852464
- Entity type
- Individual (NPI-1)
- Name
- Kirk Austin Dettloff
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 19, 2020
- Certification date
- Jul 3, 2025
- Last updated
- Jul 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 4301514151 | MI | Yes |
Practice location
325 E Eisenhower PkwyAnn Arbor, MI 48108-3364
Phone 734-936-7175
Mailing address
3621 S State StAnn Arbor, MI 48108-1633
Phone 734-647-5299
Other practice locations
325 E Eisenhower Pkwy
Ann Arbor, MI 48108-3364
Ann Arbor, MI 48108-3364
Phone 313-910-8798
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All 73 Physical Medicine & Rehabilitation Physician providers in Ann Arbor · All 17,406 providers in Ann Arbor
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