person
Mr. David Dennis Dereczyk, PA-C
Medical Physician Assistant in Detroit, Michigan
NPI 1720158223

David Dennis Dereczyk is a Medical Physician Assistant based in Farmington Hills, MI and is specialized in Medical. David Dennis Dereczyk practices in Detroit, MI and has the professional credentials of PA-C. The NPI Number for David Dennis Dereczyk is 1720158223 and holds a License No. 001252 (Michigan).

The current practice location address for David Dennis Dereczyk is 2799 W Grand Blvd, Detroit, MI and can be reached out via phone at 313-916-1557.

Location: 2799 W Grand Blvd, Detroit, MI, 48331-1107
person
Provider Profile Details
NPI Number
1720158223
Provider Name
David Dennis Dereczyk
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2799 W Grand Blvd, Detroit, MI, 48331-1107
Phone Number
313-916-1557
Fax Number
Provider Enumeration Date
11/09/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2799 W Grand Blvd
City
State
Zip
48202-2608
Phone Number
313-916-1557
Fax Number
person
Provider Business Mailing Address Details
Address
2799 W Grand Blvd
City
State
Zip
48202-2608
Phone Number
313-916-1557
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
001252 (Michigan)
Definition
Definition to come...
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