Individual
SHERWIN GUIMALAN HISONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15305 OAKLEIGH, SOUTHGATE, MI 48195-8532
(173) 428-7213
Mailing address
15305 OAKLEIGH, SOUTHGATE, MI 48195-8532
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704246725
MI
Other
Enumeration date
12/23/2020
Last updated
06/16/2021
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