Doctor Name: | DR. NSIMA USEN |
NPI Number: | 1144296153 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM, MPH, FACFAS |
License Number: | 5901002130 |
Business Practice Address: | 1628 Ford Ave Wyandotte, MI - 481922304 |
Business Phone Number: | 7342841333 |
Business Fax Number: | 7342841311 |
Mailing Address: | 1628 Ford Ave, WYANDOTTE |
State: | MI |
Postal Code: | 481922304 |
Phone Number: | 7342841333 |
Fax Number: | 7342841311 |
NPI Enumeration Date: | 02/28/2006 |
NPI Last Update Date: | 06/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 5901002130 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |