Physician Profile

Paul V. Detrisac, MD

Unclaimed Profile

About Dr. Detrisac

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Specialty

Critical Care Medicine (Primary)
Critical Care Medicine (Additional)

Credentials & Licensing

MI licensePD043661
IN license01032411A
NPI1962506527
NPI issued09/12/2006

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Dr. Detrisac specialize in?

Dr. Detrisac is a critical care physician in Niles, MI. That is the designation recorded for this NPI in the federal registry, where it is listed as “Critical Care Medicine”.

NPI registry

Where is Dr. Detrisac located?

Dr. Detrisac is listed at 24 N St Joseph Ave, Niles, MI 49120. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Dr. Detrisac's phone number?

The number on file is (269) 684-8356. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is the NPI for Dr. Detrisac?

Dr. Detrisac's National Provider Identifier is 1962506527. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How much experience does Dr. Detrisac have?

Dr. Detrisac has 20+ years experience. Registered with an NPI since 2006. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Is Dr. Detrisac's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Dr. Detrisac. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.