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1629277439
PAUL V DETRISAC MD PC
NILES, MI
NPI
1629277439
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Entity Type
Organization
Authorized Contact
PAUL V DETRISAC
President
269-684-8356
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2007-07-12
Last Update Date
2007-07-12
Business Address
PAUL V DETRISAC MD PC
24 N SAINT JOSEPH AVE
NILES, MI 49120-2263
Phone number: 269-684-8356
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Mailing Address
PAUL V DETRISAC MD PC
PO BOX 998
NILES, MI 49120-0998
Phone number:
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