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1730185539
DAVID A DETRISAC
LANSING, MI
NPI
1730185539
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: MI 4301044478)
Enumeration Date
2005-06-27
Last Update Date
2018-12-13
Business Address
Dr. DAVID A DETRISAC MD
3394 E JOLLY RD STE A
LANSING, MI 48910-8595
Phone number: 517-394-3200
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Mailing Address
Dr. DAVID A DETRISAC MD
3394 E JOLLY RD STE A
LANSING, MI 48910-8595
Phone number: 517-394-3200
Copy
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