MICHAEL DETRISAC

ANN ARBOR, MI
NPI1053689836
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2472E0500X Technician, Other, EEG
Enumeration Date2011-12-07
Last Update Date2011-12-07
Business Address
-- MICHAEL DETRISAC
812 AVIS DR
ANN ARBOR, MI 48108-9649
Phone number: 734-622-3920
Mailing Address
-- MICHAEL DETRISAC
PO BOX 104
NILES, MI 49120-0104
Phone number:
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