Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Thierry Desir, PA-C

Individual provider Psychiatry Physician · NPI 1063531960

Thierry Desir, PA-C is a Physician Assistant in Detroit, Michigan. Qualified in 1995, 31 years ago. Accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
31
Licensed in
MI
In the registry since
2007
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4201 Saint Antoine St
Detroit, MI 48201-2153
Phone: (313) 745-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601002467 (MI)
Psychiatry Physician Taxonomy 2084P0800X · Licence 5601002467 (MI)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 5601002467 (MI)

Record details

NPI number1063531960
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 29, 2007
Last updated in NPPESOctober 7, 2022
Certification dateOctober 7, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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