David Dennis Dereczyk in Detroit - Medical
David Dennis Dereczyk - NPI 1720158223
David Dennis Dereczyk is a Medical in Detroit, Michigan. David Dennis Dereczyk practices all healthcare services and medical treatments related to Medical. The NPI Number for David Dennis Dereczyk is 1720158223. The last update date is 2007-07-08.
David Dennis Dereczyk's current location address is 2799 W Grand Blvd, Detroit, Michigan. You can contact this provider via phone number 3139161557. The mailing address for David Dennis Dereczyk is 2799 W Grand Blvd, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Dennis Dereczyk |
|---|---|
| Address | 2799 W Grand Blvd, Detroit, Michigan |
| Phone Number | 3139161557 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1720158223 |
|---|---|
| Provider Enumeration Date | 2006-11-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2799 W Grand Blvd |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482022608 |
| Phone Number | 3139161557 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 1252 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the unique identifier code issued to David Dennis Dereczyk by the Centers for Medicare & Medicaid Services (CMS)?
The David Dennis Dereczyk has been assigned the NPI (National Provider Identifier) 1720158223. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where David Dennis Dereczyk is geographically located?
The David Dennis Dereczyk is physically situated at the following location: 2799 W Grand Blvd, Detroit, MI, 482022608.
What is David Dennis Dereczyk's area of expertise and its corresponding taxonomy classification?
The David Dennis Dereczyk's field of specialization is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the David Dennis Dereczyk receive its 1720158223 assignment from the Centers for Medicare & Medicaid Services?
The David Dennis Dereczyk was assigned its 1720158223 by the Centers for Medicare & Medicaid Services on 2006-11-09.
When was the information regarding David Dennis Dereczyk, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to David Dennis Dereczyk, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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