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Dr. David A Detrisac, MD
Orthopedic Surgery Physician in Lansing, Michigan
NPI 1730185539

David A Detrisac is a Orthopedic Surgery Physician based in Lansing, MI. David A Detrisac practices in Lansing, MI and has the professional credentials of MD. The NPI Number for David A Detrisac is 1730185539 and holds a License No. 4301044478 (Michigan).

The current practice location address for David A Detrisac is 3394 E Jolly Rd, Lansing, MI and can be reached out via phone at 517-394-3200 and via fax at 517-394-4250.

Location: 3394 E Jolly Rd, Lansing, MI, 48910-8595
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730185539
Provider Name
David A Detrisac
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3394 E Jolly Rd, Lansing, MI, 48910-8595
Phone Number
517-394-3200
Fax Number
517-394-4250
Provider Enumeration Date
06/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200000001107 01 MI PHYSICIANS HEALTH PLAN
2003300791 01 MI BLUE CROSS/BLUE SHIELD
0330079 01 MI BLUECARE NETWORK
4390460 05 MI
institution
Provider Business Practice Location Address Details
Address
3394 E Jolly Rd
City
Lansing
State
Michigan
Zip
48910-8595
Phone Number
517-394-3200
Fax Number
517-394-4250
person
Provider Business Mailing Address Details
Address
3394 E Jolly Rd
City
Lansing
State
Michigan
Zip
48910-8595
Phone Number
517-394-3200
Fax Number
517-394-4250
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
4301044478 (Michigan)
Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
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