MR. David Dennis Dereczyk, PA-C is a medical physician assistant in Detroit, MI. MR. David Dennis Dereczyk, PA-C NPI is 1720158223. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2799 W GRAND BLVD
DETROIT, MI
ZIP 48202-608
Phone: (313) 916-1557
The NPI 1720158223 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 11/9/2006 and was last updated on 7/8/2007.