Provider Demographics
NPI:1770530016
Name:DETMERING, DONALD GREGORY (MD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:GREGORY
Last Name:DETMERING
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Gender:M
Credentials:MD
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Mailing Address - Street 1:6101 BLUE LAGOON DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3168
Mailing Address - Country:US
Mailing Address - Phone:561-570-5172
Mailing Address - Fax:786-472-5770
Practice Address - Street 1:12602 TOEPPERWEIN RD STE 100
Practice Address - Street 2:
Practice Address - City:LIVE OAK
Practice Address - State:TX
Practice Address - Zip Code:78233-3204
Practice Address - Country:US
Practice Address - Phone:210-654-0030
Practice Address - Fax:877-212-6201
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-30
Last Update Date:2024-12-26
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Provider Licenses
StateLicense IDTaxonomies
TXM3206207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine