Organization
NSIMA USEN, DPM, MPH, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
APRIL HILL (FRONT DESK MANAGER)
(734) 284-1333
Entity
Organization
Contact information
Practice address
1628 FORD AVE, WYANDOTTE, MI 48192-2304
(734) 284-1333
Mailing address
1628 FORD AVE, WYANDOTTE, MI 48192-2304
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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