MR. DAVID DENNIS DERECZYK PA-C
NPI 1720158223
Physician Assistant - Medical in Detroit, MI

Active since November 09, 2006
2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-1557 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. David Dennis Dereczyk Pa-c NPPES

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

MR. DAVID DENNIS DERECZYK PA-C (NPI 1720158223) is an individual medical provider in Detroit, Michigan, licensed in Michigan (001252) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1720158223
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. DAVID DENNIS DERECZYKCredential: PA-C
Location Address2799 W GRAND BLVDDetroit, MI 48202-2608
Mailing Address30746 Country Ridge CirFarmington Hills, MI 48331-1107 · (248) 788-0209
Sole ProprietorYes
Enumeration DateNovember 9, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1720158223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MI · 001252
2799 W GRAND BLVD, Detroit, MI 48202

Other Providers at the Same Location NPPES 20

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

General Acute Care Hospital
2799 W GRAND BLVD
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Radiology (Diagnostic Radiology)
2799 W GRAND BLVD
DETROIT, MI 48202
Family Medicine
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Cardiovascular Disease)
2799 W GRAND BLVD
DETROIT, MI 48202
Nurse Anesthetist, Certified Registered
2799 W GRAND BLVD
DETROIT, MI 48202
Internal Medicine (Pulmonary Disease)
2799 W GRAND BLVD
DETROIT, MI 48202

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 David Dereczyk's NPI number?

The NPI number for David Dereczyk is 1720158223. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is David Dereczyk located?

David Dereczyk practices at 2799 W Grand Blvd, Detroit, MI 48202. The listed phone number is (313) 916-1557.

What is David Dereczyk's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for David Dereczyk was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.