Paul V Detrisac Md Pc in Niles - Internal Medicine
Paul V Detrisac Md Pc - NPI 1629277439
Paul V Detrisac Md Pc is a Internal Medicine in Niles, Michigan. Paul V Detrisac Md Pc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Paul V Detrisac Md Pc is 1629277439. The last update date is 2007-07-12.
Paul V Detrisac Md Pc's current location address is 24 N Saint Joseph Ave, Niles, Michigan. You can contact this provider via phone number 2696848356. The mailing address for Paul V Detrisac Md Pc is 24 N Saint Joseph Ave, Niles, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Paul V Detrisac Md Pc |
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Address | 24 N Saint Joseph Ave, Niles, Michigan |
Phone Number | 2696848356 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Detrisac V Paul |
Telephone Number | 2696848356 |
NPI Number Detail
NPI Number | 1629277439 |
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Provider Enumeration Date | 2007-07-12 |
Last Updated Date | 2007-07-12 |
Provider Mailing Address Detail
Address | 24 N Saint Joseph Ave |
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City | Niles |
State | Michigan (MI) |
Post Code | 491202263 |
Phone Number | 2696848356 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Internal Medicine |
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Taxonomy | 207R00000X |
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the unique 10-digit identification code assigned to Paul V Detrisac Md Pc by the Centers for Medicare & Medicaid Services?
The Paul V Detrisac Md Pc has been issued the NPI (National Provider Identifier) 1629277439, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Paul V Detrisac Md Pc located?
The Paul V Detrisac Md Pc is located at 24 N Saint Joseph Ave, Niles, MI 491202263.
What is the Paul V Detrisac Md Pc's area of specialization and corresponding taxonomy classification?
The Paul V Detrisac Md Pc's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.
On what date did the Paul V Detrisac Md Pc receive its 1629277439 assignment from the Centers for Medicare & Medicaid Services?
The Paul V Detrisac Md Pc was assigned its 1629277439 by the Centers for Medicare & Medicaid Services on 2007-07-12.
When was the information regarding Paul V Detrisac Md Pc most recently updated?
The details pertaining to the Paul V Detrisac Md Pc, including its address, specialty, and other relevant information, were last refreshed on 2007-07-12.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY