Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael Detrisac

Individual provider EEG Technician · NPI 1053689836

Michael Detrisac is an EEG Technician in Ann Arbor, Michigan. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since
2011
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Practice location Address checks out

812 Avis Dr
Ann Arbor, MI 48108-9649
Phone: (734) 622-3920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

EEG Technician (primary) Taxonomy 2472E0500X

Record details

NPI number1053689836
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 7, 2011
Last updated in NPPESDecember 7, 2011
Mailing addressPo Box 104, Niles, MI 49120-0104

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