David G Detert Family Practice
1650 4th St Se, Rochester, MN 55904-4700


David G Detert is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1902872641. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 4587621826. The medical credential is MD. The primary specialty is FAMILY PRACTICE. The organization is OLMSTED MEDICAL CENTER. The address is 1650 4th St Se, Rochester, MN 55904-4700. The zip code is 55904.


David G Detert · 1650 4th St Se, Rochester, MN 55904-4700

Nation Provider ID 1902872641
PAC ID by PECOS 4587621826
Professional Enrollment ID I20041217000542
Last Name DETERT
First Name DAVID
Middle Name G
Gender M
Credential MD
Medical School Name OTHER
Graduation Year 1976
Primary Specialty FAMILY PRACTICE
Primary Specialty OLMSTED MEDICAL CENTER
Phone Number 5072858485
Group Practice PAC ID 8527970060
Number of Group Practice Members 230
Address 1650 4TH ST SE
ROCHESTER, MN 559044700
Claims Based Hospital Affiliation Claim Control Number (CCN): 240006
Legal Business Name: OLMSTED MEDICAL CENTER
Professional accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Olmsted Medical Center · Medicare Physician

Name Address Specialty
Noel Peterson 210 9th St Se, Rochester, MN 55904-6425 UROLOGY
Jeffrey Gursky 1650 4th St Se, Rochester, MN 55904-4700 PSYCHIATRY
Niloufar Tabatabaei 1650 4th St Se, Rochester, MN 55904-4700 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Michael Sparacino 210 9th St Se, Rochester, MN 55904-6425 FAMILY PRACTICE
Laura Connett 210 9th St Se, Rochester, MN 55904-6425 NURSE PRACTITIONER
James Hoffmann 2820 S Broadway, Rochester, MN 55904-5571 OBSTETRICS/GYNECOLOGY
Jack Perrone 2820 S Broadway, Rochester, MN 55904-5571 OBSTETRICS/GYNECOLOGY
Kimberly Kramer Mckeon 2820 S Broadway, Rochester, MN 55904-5571 OBSTETRICS/GYNECOLOGY
Stephanie Jakim 1650 4th St Se, Rochester, MN 55904-4700 FAMILY PRACTICE
Amy Ntoburi 210 9th St Se, Rochester, MN 55904-6425 CERTIFIED NURSE MIDWIFE
John Kuncaitis 210 9th St Se, Rochester, MN 55904-6425 FAMILY PRACTICE
Clover Schultz 210 9th St Se, Rochester, MN 55904-6425 PHYSICIAN ASSISTANT
Mary Beer 1650 4th St Se, Rochester, MN 55904-4700 CLINICAL PSYCHOLOGIST
Karin Ross 2820 S Broadway, Rochester, MN 55904-5571 AUDIOLOGIST
Ghassan Mehio 210 9th St Se, Rochester, MN 55904-6425 PLASTIC AND RECONSTRUCTIVE SURGERY
Duane Ollendick 1650 4th St Se, Rochester, MN 55904-4700 CLINICAL PSYCHOLOGIST
Kalpana Muthusamy 210 9th St Se, Rochester, MN 55904-6425 ENDOCRINOLOGY
Margaret North 210 9th St Se, Rochester, MN 55904-6425 DERMATOLOGY
Matthew Florek 210 9th St Se, Rochester, MN 55904-6425 FAMILY PRACTICE
Yassaman Raissian 210 9th St Se, Rochester, MN 55904-6425 PATHOLOGY

Zip 55904 · Family Practice · Medicare Physician

Name Address Specialty
Carole Nistler 2820 S Broadway, Rochester, MN 55904-5571 FAMILY PRACTICE
John Kuncaitis 210 9th St Se, Rochester, MN 55904-6425 FAMILY PRACTICE
Mark Wilbur 210 9th St Se, Rochester, MN 55904-6425 FAMILY PRACTICE
Jonathan Knight 1650 4th St Se, Rochester, MN 55904-4700 FAMILY PRACTICE
Brenda Brown 210 9th St Se, Rochester, MN 55904-6425 FAMILY PRACTICE
Michael Sparacino 210 9th St Se, Rochester, MN 55904-6425 FAMILY PRACTICE
Dale Loeffler 2820 S Broadway, Rochester, MN 55904-5571 FAMILY PRACTICE
Duane Bartels 2820 S Broadway, Rochester, MN 55904-5571 FAMILY PRACTICE
Victoria Dietz 2820 S Broadway, Rochester, MN 55904-5571 FAMILY PRACTICE
Randy Hemann 1650 4th St Se, Rochester, MN 55904-4700 FAMILY PRACTICE
Barbara Vize 210 9th St Se, Rochester, MN 55904-6425 FAMILY PRACTICE
Matthew Florek 210 9th St Se, Rochester, MN 55904-6425 FAMILY PRACTICE
Laura Pelaez 2820 S Broadway, Rochester, MN 55904-5571 FAMILY PRACTICE
Nicole Groeschl 210 9th St Se, Rochester, MN 55904-6425 FAMILY PRACTICE
Karl Molenaar 210 9th St Se, Rochester, MN 55904-6425 FAMILY PRACTICE
Steven Adamson 210 9th St Se, Rochester, MN 55904-6425 FAMILY PRACTICE
Amanda Thoendel 210 9th St Se, Rochester, MN 55904-6425 FAMILY PRACTICE
Melanie Johnson 210 9th St Se, Rochester, MN 55904-6425 FAMILY PRACTICE
Lynette Lamp 1650 4th St Se, Rochester, MN 55904-4700 FAMILY PRACTICE
Craig Thauwald 210 9th St Se, Rochester, MN 55904-6425 FAMILY PRACTICE

Zip 55904 · Medicare Physician

Name Address Specialty
Sara Arnold 2820 S Broadway, Rochester, MN 55904-5571 NURSE PRACTITIONER
Jeffrey Gursky 1650 4th St Se, Rochester, MN 55904-4700 PSYCHIATRY
Anne Beighley 1650 4th St Se, Rochester, MN 55904-4700 NURSE PRACTITIONER
Daniel Peterson 2820 S Broadway, Rochester, MN 55904-5571 OPHTHALMOLOGY
Nathan Groebner 210 9th St Se, Rochester, MN 55904-6425 DIAGNOSTIC RADIOLOGY
Elizabeth Vermilya 210 9th St Se, Rochester, MN 55904-6425 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Michael Kycek 2820 S Broadway, Rochester, MN 55904-5571 NURSE PRACTITIONER
Brent Maday 1201 S Broadway, Rochester, MN 55904-3862 CHIROPRACTIC
Karl Molenaar 210 9th St Se, Rochester, MN 55904-6425 FAMILY PRACTICE
Thomas Diana 343 Woodlake Sedr, Rochester, MN 55904-6242 CLINICAL PSYCHOLOGIST
Eric Aguirre 210 9th St Se, Rochester, MN 55904-6425 NURSE PRACTITIONER
Clover Schultz 210 9th St Se, Rochester, MN 55904-6425 PHYSICIAN ASSISTANT
Amy Ntoburi 210 9th St Se, Rochester, MN 55904-6425 CERTIFIED NURSE MIDWIFE
Naomi Odell Lundstrom 210 9th St Se, Rochester, MN 55904-6425 OPHTHALMOLOGY
Laura Connett 210 9th St Se, Rochester, MN 55904-6425 NURSE PRACTITIONER
Samuel Halverson 2820 S Broadway, Rochester, MN 55904-5571 PHYSICIAN ASSISTANT
Marlys Smelter 2820 S Broadway, Rochester, MN 55904-5571 CERTIFIED REGISTERED NURSE ANESTHETIST
Donald Woolley 2820 S Broadway, Rochester, MN 55904-5571 OPTOMETRY
Srdan Babovic 1650 4th St Se, Rochester, MN 55904-4700 PLASTIC AND RECONSTRUCTIVE SURGERY
Susan Majerus 343 Woodlake Sedr, Rochester, MN 55904-6242 NURSE PRACTITIONER