Cecelia F. Hissong, M.D., P.C.

Family Medicine in Dearborn, MI. Organization (NPI-2).

NPI number1124359658

StatusActive

Last updated in NPPESJan 22, 2010

Details

NPI: 1124359658
Entity type: Organization (NPI-2)
Legal business name: Cecelia F. Hissong, M.D., P.C.
Organization subpart: No
Enumeration date: Jan 22, 2010
Last updated: Jan 22, 2010

Medicare and OIG

Medicare enrolled (PECOS): Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	CH027214	MI	Yes

Practice location

23100 Cherry Hill St
Suite 8
Dearborn, MI 48124-1493

Phone 313-563-5310 · Fax 313-563-8147

Mailing address

23100 Cherry Hill St
Suite 8
Dearborn, MI 48124-1493

Phone 313-563-5310 · Fax 313-563-8147

Authorized official

Cecelia F Hissong
President
3135635310

Is something wrong?

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