IndividualActive
Edward Daetwyler, M.D.
NPI 1669445722 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Evansville, IN
Provider details
- NPI number
- 1669445722
- Entity type
- Individual
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 01032497A (IN)
Specialties & taxonomies
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianPrimary207YX0007XLicense 01032497A (IN)
Allopathic & Osteopathic Physicians
Practice location
350 W Columbia St
Suite 310
Evansville, IN 47710-1782
Phone: (812) 425-2646
Fax: (812) 467-7209
Approximate (ZIP-level) locationGet directions
Mailing address
350 W Columbia St
Evansville, IN 47710-1782
Registry dates
- Enumerated
- 2006-02-09
- Last updated
- 2012-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.