Individual
PAUL THOMAS DEMROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, MSN, OHST
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
4704289821
MI
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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