Paul V Detrisac in Niles - Critical Care Medicine
Paul V Detrisac - NPI 1962506527
Paul V Detrisac is a Critical Care Medicine in Niles, Michigan. Paul V Detrisac practices all healthcare services and medical treatments related to Critical Care Medicine. The NPI Number for Paul V Detrisac is 1962506527. The last update date is 2007-07-10.
Paul V Detrisac's current location address is Po Box 998, Niles, Michigan. You can contact this provider via phone number 2696848356. The mailing address for Paul V Detrisac is Po Box 998, Niles, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul V Detrisac |
|---|---|
| Address | Po Box 998, Niles, Michigan |
| Phone Number | 2696848356 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1962506527 |
|---|---|
| Provider Enumeration Date | 2006-09-12 |
| Last Updated Date | 2007-07-10 |
Provider Mailing Address Detail
| Address | Po Box 998 |
|---|---|
| City | Niles |
| State | Michigan (MI) |
| Post Code | 49120 |
| Phone Number | 2696848356 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Critical Care Medicine |
|---|---|
| Taxonomy | 207Rc0200X |
| Licence No | PD043661 |
|
Definition: An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physicia |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1508904 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Paul V Detrisac by the Centers for Medicare & Medicaid Services?
The Paul V Detrisac has been issued the NPI (National Provider Identifier) 1962506527 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Paul V Detrisac is located?
The Paul V Detrisac is situated at the following address: Po Box 998, Niles, MI, 49120.
What is the Paul V Detrisac's specialty and taxonomy code?
The Paul V Detrisac's specialty is Critical Care Medicine, and the corresponding taxonomy code is 207Rc0200X.
On what date did Paul V Detrisac receive its 1962506527 assignment from the Centers for Medicare & Medicaid Services?
The Paul V Detrisac was assigned its 1962506527 on 2006-09-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Paul V Detrisac's information last updated?
The Paul V Detrisac's information was last updated on 2007-07-10.
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