Cederick Deon Cistrunk in Detroit - Surgical
Cederick Deon Cistrunk - NPI 1770602500
Cederick Deon Cistrunk is a Surgical in Detroit, Michigan. Cederick Deon Cistrunk practices all healthcare services and medical treatments related to Surgical. The NPI Number for Cederick Deon Cistrunk is 1770602500. The last update date is 2010-01-12.
Cederick Deon Cistrunk's current location address is 3990 John R St, Detroit, Michigan. You can contact this provider via phone number 3137458040. The mailing address for Cederick Deon Cistrunk is 3990 John R St, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cederick Deon Cistrunk |
|---|---|
| Address | 3990 John R St, Detroit, Michigan |
| Phone Number | 3137458040 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1770602500 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2010-01-12 |
Provider Mailing Address Detail
| Address | 3990 John R St |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482012018 |
| Phone Number | 3137458040 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 5601004965 |
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Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Cederick Deon Cistrunk by the Centers for Medicare & Medicaid Services?
The Cederick Deon Cistrunk has been assigned the NPI (National Provider Identifier) 1770602500 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Cederick Deon Cistrunk is physically located?
The Cederick Deon Cistrunk is physically situated at the following address: 3990 John R St, Detroit, MI, 482012018.
What is Cederick Deon Cistrunk's area of expertise and its corresponding taxonomy classification?
The Cederick Deon Cistrunk's field of specialization is Surgical, and it falls under the taxonomy code 363As0400X, which categorizes healthcare providers based on their areas of practice.
On what date did Cederick Deon Cistrunk receive its 1770602500 assignment from the Centers for Medicare & Medicaid Services?
The Cederick Deon Cistrunk was assigned its 1770602500 on 2007-03-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Cederick Deon Cistrunk most recently updated or revised?
The information pertaining to Cederick Deon Cistrunk, including its address, specialty, and other relevant details, was last updated or revised on 2010-01-12.
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