Detrisac, Michael

Detrisac, Michael is an sole proprietor health care provider with primary practice located at 812 Avis Dr , Ann Arbor MI 48108-9649. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / EEG, which is considered as his primary health care specialty. Detrisac, Michael can be contacted via phone (734) 622-3920.

Contact Information

Primary practice address
812 Avis Dr Ann Arbor MI 48108-9649
Phone: (734) 622-3920
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / EEG 2472E0500X

Profile Details

NPI number 1053689836
LBN Legal business name Detrisac, Michael
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2011
Last updated Dec 7th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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