Cistrunk, Cederick Deon

Cistrunk, Cederick Deon is an individual health care provider with primary practice located at 3990 John R St , Detroit MI 48201-2018. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Cistrunk, Cederick Deon can be contacted via phone (313) 745-8040.

Contact Information

Primary practice address
3990 John R St Detroit MI 48201-2018
Phone: (313) 745-8040
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 5601004965 Michigan

Profile Details

NPI number 1770602500
LBN Legal business name Cistrunk, Cederick Deon
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Jan 12th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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