Dr. Philip M. Detrana
Pulmonary Disease Critical Care Medicine
2414 Kohler Memorial Dr
Sheboygan
, Wisconsin 53081-3129
Dr. Philip M. Detrana
Pulmonary Disease Critical Care Medicine
2414 Kohler Memorial Dr
Sheboygan
, Wisconsin 53081-3129
(920) 457-4461
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About
Features
Specialties
- Critical Care Medicine
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Dr. Philip M. Detrana
- 2414 Kohler Memorial Dr
- Sheboygan, WI
- Zip : 53081-3129
- Phone : (920) 457-4461
Second Address
- Dr. Philip M. Detrana
- 2414 Kohler Memorial Dr
- Sheboygan, WI
- Zip : 53081-3129
- Phone : (920) 457-4461
Reviews
FAQs
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Is Dr. Philip M. Detrana a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RC0200X | Critical Care Medicine | 36416 | WI |
| Y | 207RP1001X | Pulmonary Disease | 36416 | WI |
National Provider Identifier
| NPI | 1013992643 |
|---|---|
| Provider Name | Dr. Philip M. Detrana |
| First Address | Sheboygan, WI 53081-3129 |
| Second Address | Sheboygan, WI 53081-3129 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/12/2005 |
| Last Update Date | 30/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 32101500 | (05) | WI |
| F04650 | (02) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.