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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. CEDERICK DEON CISTRUNK, PA-C

Active

MR. CEDERICK DEON CISTRUNK, PA-C is a Surgical Physician Assistant healthcare provider located in DETROIT, Michigan. NPI 1770602500 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · DETROIT, MI

Registration Details

NPI Number
1770602500
Provider Type
Individual
Gender
Male
NPI Issued
Mar 29, 2007 (19.4117539979 yrs)
Last Updated
Jan 12, 2010
License
5601004965 (MI)

Practice Information

Address
3990 JOHN R ST
DETROIT, MI, 482012018
Browse MI providers · Browse ZIP 48201
Phone
3137458040
Primary Specialty
Surgical Physician Assistant
363AS0400X

Other Surgical Physician Assistant Providers in DETROIT, MI

Name Credential NPI
VESNA CADIKOVSKA PA-C 1205897469
LAUREN BETH GURSKI PAC 1184678690
ERIK ILMARS SAULITIS PAC 1285680421
YU ZHENG PAC 1326089228
MARK M ROESER PAC 1194751693
DEJUANA MICHELLE STRONG P.A. 1316967813
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.