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1770602500
CEDERICK DEON CISTRUNK
DETROIT, MI
NPI
1770602500
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: MI 5601004965)
Enumeration Date
2007-03-29
Last Update Date
2010-01-12
Business Address
Mr. CEDERICK DEON CISTRUNK PA-C
3990 JOHN R ST
DETROIT, MI 48201-2018
Phone number: 313-745-8040
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Mailing Address
Mr. CEDERICK DEON CISTRUNK PA-C
3990 JOHN R DEPT OF CARDIO THORACIC SURGERY
DETROIT, MI 48201
Phone number: 313-745-7045
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