Organization
FFAS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NSIMA MOSES USEN DPM (OWNER/PARTNER)
(248) 423-4220
Entity
Organization
Contact information
Practice address
1628 FORD AVE, WYANDOTTE, MI 48192-2304
(724) 284-1333
(734) 284-1311
Mailing address
1628 FORD AVE, WYANDOTTE, MI 48192-2304
(724) 284-1333
(734) 284-1311
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF5292
RAILROAD MEDICARE
MI
Enumeration date
06/27/2011
Last updated
06/27/2011
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