Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Eric James Dettloff, PA-C

Individual provider Physician Assistant · NPI 1679016638

Eric James Dettloff, PA-C is a Physician Assistant in Muskegon, Michigan. Qualified in 2016, 10 years ago. Practices with Orthopaedic Associates of Muskegon PC, a 112-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
10
Licensed in
MI
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1400 Mercy Dr Ste 100
Muskegon, MI 49444-1833
Phone: (231) 733-1326
Fax: (231) 733-5212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4100 Lake Dr Se Ste 300, Grand Rapids, MI 49546-8292 — (616) 267-8860

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601008640 (MI)

Record details

NPI number1679016638
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 23, 2016
Last updated in NPPESAugust 9, 2024
Certification dateAugust 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Orthopaedic Associates Of Muskegon Pc — 112 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Muskegon