person
Michael Detrisac
EEG Technician in Ann Arbor, Michigan
NPI 1053689836

Michael Detrisac is a EEG Technician based in Niles, MI and is specialized in EEG. Michael Detrisac practices in Ann Arbor, MI. The NPI Number for Michael Detrisac is 1053689836 and holds a License No. (Michigan).

The current practice location address for Michael Detrisac is 812 Avis Dr, Ann Arbor, MI and can be reached out via phone at 734-622-3920.

Location: 812 Avis Dr, Ann Arbor, MI, 49120-0104
person
Provider Profile Details
NPI Number
1053689836
Provider Name
Michael Detrisac
Credential
Provider Entity Type
Individual
Gender
Male
Address
812 Avis Dr, Ann Arbor, MI, 49120-0104
Phone Number
734-622-3920
Fax Number
Provider Enumeration Date
12/07/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
812 Avis Dr
City
State
Zip
48108-9649
Phone Number
734-622-3920
Fax Number
person
Provider Business Mailing Address Details
Address
812 Avis Dr
City
State
Zip
48108-9649
Phone Number
734-622-3920
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Other
Speciality
EEG
Taxonomy
License No.
()
Definition
Definition to come...
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