1. Home
  2. Directory
  3. Michigan
  4. Niles
  5. Internal Medicine
  6. NPI Profile

PAUL V DETRISAC MD PC
NPI 1629277439
Internal Medicine in Niles, MI

Active since July 12, 2007
24 N SAINT JOSEPH AVE, NILES, MI 49120(269) 684-8356 Get Directions Write a Review

NPPES record last updated: July 12, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paul V Detrisac Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL V DETRISAC MD PC (NPI 1629277439) is a healthcare organization registered as an internal medicine in Niles, Michigan and active in the NPI registry since July 2007. The organization lists Paul V Detrisac, President, as its authorized official.

NPPES Registry Identity

NPI1629277439
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePAUL V DETRISAC MD PC
Location Address24 N SAINT JOSEPH AVENiles, MI 49120-2263
Mailing AddressPo Box 998Niles, MI 49120-0998
Phone(269) 684-8356
Organization SubpartNo
Authorized OfficialPaul V DetrisacPresident · (269) 684-8356
Enumeration DateJuly 12, 2007
✔ NPI 1629277439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
24 N SAINT JOSEPH AVE, Niles, MI 49120
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DOUGLAS TACKET DO PLLC
Family Medicine
24 N SAINT JOSEPH AVE, SUITE G
NILES, MI 49120
Berrien County (269) 684-5002
DR. MICHAEL L FLEWELLING DDS
Dentist (General Practice)
24 N SAINT JOSEPH AVE, SUITE E-2
NILES, MI 49120
Berrien County (269) 683-4180
GREATER NILES CARDIOLOGY PC
Internal Medicine (Cardiovascular Disease)
24 N SAINT JOSEPH AVE, SUITE F1
NILES, MI 49120
Berrien County (269) 687-9575
MR. JOE FRANCISCO MSW, LCSW
Social Worker (Clinical)
24 N SAINT JOSEPH AVE, SUITE G
NILES, MI 49120
Berrien County (269) 684-6870
CARDIOVASCULAR DISEASES OF NILES, P.C.
Internal Medicine (Cardiovascular Disease)
24 N SAINT JOSEPH AVE, SUITE A
NILES, MI 49120
Berrien County (269) 683-1120
MIKE FLEWELLING DDS PLC
Dentist (General Practice)
24 N SAINT JOSEPH AVE, SUITE E-2
NILES, MI 49120
Berrien County (269) 683-4180
STEPHANIE MARIE MANN
Social Worker (Clinical)
24 N SAINT JOSEPH AVE
NILES, MI 49120
Berrien County (269) 684-4270
WEST MICHIGAN HEARING SPECIALISTS LLC
Audiologist-Hearing Aid Fitter
24 N SAINT JOSEPH AVE, SUITE C-1
NILES, MI 49120
Berrien County (269) 683-0800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul V Detrisac MD PC's NPI number?

The NPI number for Paul V Detrisac MD PC is 1629277439. It was assigned to this organization in the NPPES registry on July 12, 2007.

Where is Paul V Detrisac MD PC located?

Paul V Detrisac MD PC is located at 24 N Saint Joseph Ave, Niles, MI 49120. The listed phone number is (269) 684-8356.

What is Paul V Detrisac MD PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Paul V Detrisac MD PC was last updated on July 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.