Dr. David A Detrisac is a Lansing, Michigan based male orthopedic surgeon who is specialized in Orthopedic Surgery. Active license number of Dr. David A Detrisac is 4301044478 for Orthopedic Surgery in Michigan.
Dr. David A Detrisac is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means including the patients with musculoskeletal problems which include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. Patients with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system are also concerned.
Complete Profile:
Dr. David A Detrisac speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Orthopedic - Orthopedic Surgery
Credentials:
MD
Gender:
Male
Practice Address:
3394 E Jolly Rd, Ste A, Lansing, Michigan, 48910-8595
Phone:
517-394-3200
Fax:
517-394-4250
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1730185539
NPI Enumeration Date:
27 Jun, 2005
NPI Last Update On:
13 Dec, 2018
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. David A Detrisac are as mentioned below.
License Number
Specialization
State
Status
4301044478
Orthopedic Surgery
Michigan
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. David A Detrisac such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
200000001107
Other
Michigan
PHYSICIANS HEALTH PLAN
2003300791
Other
Michigan
BLUE CROSS/BLUE SHIELD
0330079
Other
Michigan
BLUECARE NETWORK
4390460
Medicaid
Michigan
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3394 E Jolly Rd, Ste A Lansing, Michigan
Zip:
48910-8595
Phone Number:
517-394-3200
Fax Number:
517-394-4250
Patients can reach Dr. David A Detrisac at 3394 E Jolly Rd, Ste A, Lansing, Michigan or can call to book an appointment on 517-394-3200. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.