Paul V Detrisac Md Pc

LBN: Paul V Detrisac Md Pc
Paul V Detrisac Md Pc is an health care organization with primary practice located at 24 N Saint Joseph Ave , Niles MI 49120-2263. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Paul V Detrisac Md Pc can be contacted via phone (269) 684-8356, or through Detrisac, Paul V via phone (269) 684-8356.

Contact Information

Primary practice address
24 N Saint Joseph Ave Niles MI 49120-2263
Phone: (269) 684-8356
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Detrisac, Paul V
Phone: (269) 684-8356

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1629277439
LBN Legal business name Paul V Detrisac Md Pc
DBA Doing business as
Authorized official Detrisac, Paul V
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2007
Last updated Jul 12th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers