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Paul V Detrisac, MD
Critical Care Medicine (Internal Medicine) Physician in Niles, Michigan
NPI 1962506527

Paul V Detrisac is a Critical Care Medicine (Internal Medicine) Physician based in Niles, MI and is specialized in Critical Care Medicine. Paul V Detrisac practices in Niles, MI and has the professional credentials of MD. The NPI Number for Paul V Detrisac is 1962506527 and holds a License No. PD043661 (Michigan).

The current practice location address for Paul V Detrisac is 24 N St Joseph Ave, Niles, MI and can be reached out via phone at 269-684-8356.

Location: 24 N St Joseph Ave, Niles, MI, 49120
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962506527
Provider Name
Paul V Detrisac
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
24 N St Joseph Ave, Niles, MI, 49120
Phone Number
269-684-8356
Fax Number
Provider Enumeration Date
09/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1508904 05 MI
institution
Provider Business Practice Location Address Details
Address
24 N St Joseph Ave
City
Niles
State
Michigan
Zip
49120
Phone Number
269-684-8356
Fax Number
person
Provider Business Mailing Address Details
Address
24 N St Joseph Ave
City
Niles
State
Michigan
Zip
49120
Phone Number
269-684-8356
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Critical Care Medicine
Taxonomy
207RC0200X
License No.
PD043661 (Michigan)
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 physician, the critical care staff and other specialists.
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