1. Home
  2. Directory
  3. Michigan
  4. Corunna
  5. General Practice
  6. NPI Profile

SHIAWASSEE FAMILY MEDICINE
NPI 1184642886
General Practice in Corunna, MI

Active since July 18, 2006
115 N SHIAWASSEE ST, CORUNNA, MI 48817(989) 743-3415(989) 743-6180 Get Directions Write a Review

NPPES record last updated: June 16, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shiawassee Family Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHIAWASSEE FAMILY MEDICINE (NPI 1184642886) is a healthcare organization registered as a general practice in Corunna, Michigan and active in the NPI registry since July 2006. The organization lists Archibald W. Dettman, Owner, as its authorized official.

NPPES Registry Identity

NPI1184642886
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameARCHIBALD W. DETTMAN
Location Address115 N SHIAWASSEE STCorunna, MI 48817-1435
Mailing Address115 N Shiawassee StCorunna, MI 48817-1435 · (989) 743-3415 · Fax (989) 743-6180
Phone(989) 743-3415
Fax(989) 743-6180
Organization SubpartNo
Authorized OfficialArchibald W. DettmanOwner · (989) 743-3415
Enumeration DateJuly 18, 2006
Last NPPES UpdateJune 16, 2008
✔ NPI 1184642886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MI · 5101006898
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

115 N SHIAWASSEE ST, Corunna, MI 48817
Open in Google Maps ↗

Other Names 1

Doing Business AsShiawassee Family Medicine

Other Identifiers 1

OtherCH2727MI · Travelers Mc Group Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Archibald W. Dettman's NPI number?

The NPI number for Archibald W. Dettman is 1184642886. It was assigned to this organization in the NPPES registry on July 18, 2006. The provider is doing business as Shiawassee Family Medicine.

Where is Archibald W. Dettman located?

Archibald W. Dettman is located at 115 N Shiawassee St, Corunna, MI 48817. The listed phone number is (989) 743-3415.

What is Archibald W. Dettman's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Archibald W. Dettman was last updated on June 16, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.