IndividualActive
Michael Detrisac
NPI 1053689836 · EEG Technician · Ann Arbor, MI
Provider details
- NPI number
- 1053689836
- Entity type
- Individual
- Primary specialty
- EEG TechnicianTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
812 Avis Dr
Ann Arbor, MI 48108-9649
Phone: (734) 622-3920
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 104
Niles, MI 49120-0104
Registry dates
- Enumerated
- 2011-12-07
- Last updated
- 2011-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.