Organization
NSIMA USEN DPM, MPH, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY CHENG (FRONT DESK MANAGER)
(248) 352-3736
Entity
Organization
Contact information
Practice address
27177 LAHSER RD STE 200, SOUTHFIELD, MI 48034-8468
(248) 352-3736
Mailing address
27177 LAHSER RD STE 200, SOUTHFIELD, MI 48034-8468
(248) 352-3736
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901002130
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4820453
—
MI
Enumeration date
10/17/2006
Last updated
08/22/2020
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