Edward P. Daetwyler
Plastic Surgeon (Head & Neck)
350 W Columbia St Suite 310
Evansville
, Indiana 47710-1782
Edward P. Daetwyler
Plastic Surgeon (Head & Neck)
350 W Columbia St Suite 310
Evansville
, Indiana 47710-1782
(812) 467-7209
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About
Features
Specialties
- Plastic Surgeon (Head & Neck)
Languages spoken
- English
Location
First Address
- Edward P. Daetwyler
- 350 W Columbia St Suite 310
- Evansville, IN
- Zip : 47710-1782
- Fax : (812) 467-7209
- Phone : (812) 425-2646
Second Address
- Edward P. Daetwyler
- 350 W Columbia St Suite 310
- Evansville, IN
- Zip : 47710-1782
- Fax : (812) 467-7209
- Phone : (812) 425-2646
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 01032497A | IN |
National Provider Identifier
| NPI | 1669445722 |
|---|---|
| Provider Name | Edward P. Daetwyler |
| First Address | Evansville, IN 47710-1782 |
| Second Address | Evansville, IN 47710-1782 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/02/2006 |
| Last Update Date | 04/12/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100078630 | (05) | IN |
| D95051 | (02) | IN |
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.