PAUL V DETRISAC MD PC

NILES, MI
NPI1629277439
Entity TypeOrganization
Authorized ContactPAUL V DETRISAC
President
269-684-8356
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2007-07-12
Last Update Date2007-07-12
Business Address
PAUL V DETRISAC MD PC
24 N SAINT JOSEPH AVE
NILES, MI 49120-2263
Phone number: 269-684-8356
Mailing Address
PAUL V DETRISAC MD PC
PO BOX 998
NILES, MI 49120-0998
Phone number:
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