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Search › Michigan › Medical Physician Assistant

David Dereczyk, PA-C

NPI 1720158223 · on the registry since 2006 · sole proprietor

Practice

Address
2799 W Grand Blvd
Detroit, MI 48202
Phone
(313) 916-1557
Organisation at this address
Pcor Llc
Henry Ford Hospital
Henry Ford Hospital
Henry Ford Hospital
Henry Ford Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2,588

Registry record

Primary taxonomy
Medical Physician Assistant
363AM0700X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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