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Individual

ISIAH JOSEPH SCIMENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
19738 WALTHAM ST, DETROIT, MI 48205-1621
(313) 556-6965
Mailing address
19738 WALTHAM ST, DETROIT, MI 48205-1621
(313) 556-6965

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
S552344441394
MI

Other

Enumeration date
10/27/2025
Last updated
10/27/2025
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