Search › Michigan › 363A00000X
Amy Dereczyk, PA-C
NPI 1558349050 · on the registry since 2006
Practice
- Address
- 4001 W Mcnichols Rd
Detroit, MI 48221 - Phone
- (313) 993-1797
- Fax
- (313) 993-1271
- Clinicians at this address
- 72
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-05-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan