DR. DAVID A DETRISAC MD
NPI 1730185539
Orthopaedic Surgery in Lansing, MI

Active since June 27, 2005
3394 E JOLLY RD, STE A, LANSING, MI 48910(517) 394-3200(517) 394-4250 Get Directions Write a Review

NPPES record last updated: December 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. David A Detrisac Md NPPES

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

DR. DAVID A DETRISAC MD (NPI 1730185539) is an individual orthopaedic surgery provider in Lansing, Michigan, licensed in Michigan (4301044478) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1730185539
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. DAVID A DETRISACCredential: MD
Location Address3394 E JOLLY RD, STE ALansing, MI 48910-8595
Mailing Address3394 E Jolly Rd, Ste ALansing, MI 48910-8595 · (517) 394-3200 · Fax (517) 394-4250
Fax(517) 394-4250
Sole ProprietorNo
Enumeration DateJune 27, 2005
Last NPPES UpdateDecember 13, 2018
NPI 1730185539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in MI · 4301044478
Definition
An orthopaedic surgeon 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. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems 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. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
3394 E JOLLY RD, Lansing, MI 48910

Other Identifiers 4

Other0330079MI · Bluecare Network
Other200000001107MI · Physicians Health Plan
Medicaid4390460MI
Other2003300791MI · Blue Cross/blue Shield

Other Providers at the Same Location NPPES 10

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

Orthopaedic Surgery
3394 E JOLLY RD, STE A
LANSING, MI 48910
Internal Medicine (Rheumatology)
3394 E JOLLY RD, SUITE C
LANSING, MI 48910
Physical Therapist
3394 E JOLLY RD
LANSING, MI 48910
Clinical Medical Laboratory
3394 E JOLLY RD, SUITE C
LANSING, MI 48910
Orthopaedic Surgery
3394 E JOLLY RD, STE A
LANSING, MI 48910
Neuromusculoskeletal Medicine & OMM
3394 E JOLLY RD, SUITE D
LANSING, MI 48910
Orthopaedic Surgery
3394 E JOLLY RD, STE A
LANSING, MI 48910
Specialist
3394 E JOLLY RD, STE A
LANSING, MI 48910

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 Detrisac's NPI number?

The NPI number for David Detrisac is 1730185539. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Where is David Detrisac located?

David Detrisac practices at 3394 E Jolly Rd Ste A, Lansing, MI 48910. The listed phone number is (517) 394-3200.

What is David Detrisac's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for David Detrisac was last updated on December 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.