Individual
DR. CECELIA F. HISSONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
23100 CHERRY HILL ST, SUITE 8, DEARBORN, MI 48124-1493
(313) 563-5310
(313) 563-8147
Mailing address
23100 CHERRY HILL ST, SUITE 8, DEARBORN, MI 48124-1493
(313) 563-5310
(313) 563-8147
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
027214
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010045869
RAILROAD MEDICARE
MI
01
—
0824144
BLUE CROSS BLUE SHIELD
MI
05
—
10/2095139
—
MI
01
—
126367
PRIORITY HEALTH
MI
01
—
1780685008
HAP
MI
01
—
382211173
ALL OTHERS ON 8/9/05
MI
Enumeration date
08/09/2005
Last updated
02/12/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us