IndividualActive
Cederick Cistrunk, PA-C
NPI 1770602500 · Surgical Physician Assistant · Detroit, MI
Provider details
- NPI number
- 1770602500
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 5601004965 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3990 John R St
Detroit, MI 48201-2018
Phone: (313) 745-8040
Approximate (ZIP-level) locationGet directions
Mailing address
3990 John R Dept of Cardio Thoracic Surgery
Detroit, MI 48201
Registry dates
- Enumerated
- 2007-03-29
- Last updated
- 2010-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.