Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PAUL V DETRISAC, MD
ActivePAUL V DETRISAC, MD is a Critical Care Medicine healthcare provider located in NILES, Michigan. NPI 1962506527 is currently active in the NPPES registry. Verify at CMS.
Critical Care Medicine · NILES, MI
Registration Details
- NPI Number
- 1962506527
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 12, 2006 (19.946512311693 yrs)
- Last Updated
- Jul 10, 2007
- Licenses
-
PD043661 (MI)01032411A (IN)
Practice Information
- Address
-
24 N ST JOSEPH AVENILES, MI, 49120Browse MI providers · Browse ZIP 49120
- Phone
- 2696848356
- Primary Specialty
-
Critical Care Medicine
207RC0200X
- Additional Specialty
- Critical Care Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.