Dr. Archibald Winfred Dettman , DO
General Practice • Corunna, MI
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Archibald Dettman has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Archibald Dettman, DO was a registered General Practice practicing in Corunna, MI. Throughout an active medical career spanning 17 years, Dr. Dettman provided care at the practice location at 115 N SHIAWASSEE ST until profile deactivation on 2023-06-07.
Practice Location & Contact Primary Location
115 N Shiawassee St
Corunna, MI 488171435
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in Corunna, MI
Practicing in Corunna, MI (445 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Family Medicine
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Family Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Family Nurse Practitioner
Family Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 07, 2023
NPI status registered as active in NPPES database
Registered at 115 N SHIAWASSEE ST, CORUNNA, MI 488171435 (Tel: 9897433415)
Registered at 115 N SHIAWASSEE ST, CORUNNA, MI 488171435 (Tel: 9897433415)
Recorded as ARCHIBALD DETTMAN, D.O.
General Practice (License #5101006898 in MI)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
115 N Shiawassee St
Corunna, MI 488171435
Phone: 9897433415
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