Paul Detrisac, MD
NPI 1962506527 belongs to Paul Detrisac, MD, a critical care medicine (internal medicine) physician with a practice location in Niles, MI. The NPI was issued on September 12, 2006, and the record was last updated in NPPES on July 10, 2007. The record lists 2 taxonomy codes.
This record hasn't been updated in NPPES since 2007. Details may be out of date.
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician Primary | 207RC0200X | PD043661 (MI) |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 01032411A (IN) |
Practice location
Local context
Active NPPES records list 19 providers with critical care medicine (internal medicine) physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 1 of them within 10 miles.
The same primary taxonomy is listed by 208 in Michigan and 7,319 nationwide.
These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.
Record history
- Name on record
- Paul V Detrisac
- Status
- Active
- NPI issued
- Last updated in NPPES
Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.
NPPES data as of · Source: CMS NPPES
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