Individual
CECELIA HUSTEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
17888 MACK AVE STE 1, GROSSE POINTE, MI 48230-6234
(313) 520-1674
Mailing address
17888 MACK AVE STE 1, GROSSE POINTE, MI 48230-6234
(313) 520-1674
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704307048
MI
Other
Enumeration date
05/20/2022
Last updated
09/16/2024
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