| Dr David A Detrisac, MD | |
|
3394 E Jolly Rd, Ste A, Lansing, MI 48910-8595 | |
| (517) 394-3200 | |
| (517) 394-4250 |
| Full Name | Dr David A Detrisac |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 3394 E Jolly Rd, Lansing, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730185539 | NPI | - | NPPES |
| 200000001107 | Other | MI | PHYSICIANS HEALTH PLAN |
| 2003300791 | Other | MI | BLUE CROSS/BLUE SHIELD |
| 0330079 | Other | MI | BLUECARE NETWORK |
| 4390460 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 4301044478 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David A Detrisac, MD 3394 E Jolly Rd, Ste A, Lansing, MI 48910-8595 Ph: (517) 394-3200 | Dr David A Detrisac, MD 3394 E Jolly Rd, Ste A, Lansing, MI 48910-8595 Ph: (517) 394-3200 |
Jason Cochran, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2815 S Pennsylvania Ave, Suite 204, Lansing, MI 48910 Phone: 517-267-0200 Fax: 517-267-1877 | |
John Wesley Mesko, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2815 S Pennsylvania Ave, Suite 204, Lansing, MI 48910 Phone: 517-267-0200 Fax: 517-267-1877 | |
Mrs. Linda Marie Hughson, OPA-C RN Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3370 E Jolly, Lansing, MI 48910 Phone: 517-487-3717 Fax: 517-364-0138 | |
Dr. Michael P Mcdermott, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3394 E Jolly Rd, Ste A, Lansing, MI 48910 Phone: 517-394-3200 Fax: 517-394-4250 | |
Dr. Tammy A Woods, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3404 Patient Care Dr, Lansing, MI 48911 Phone: 517-267-0200 Fax: 517-267-1877 | |
Charles J Taunt Jr., DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2815 S Pennsylvania Ave, Ste 204, Lansing, MI 48910 Phone: 517-267-0200 Fax: 517-267-1877 | |
Matthew James Dubiel, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3394 E Jolly Rd Ste A, Lansing, MI 48910 Phone: 517-394-3200 |