MEDICARE: DR. CECELIA F. HISSONG M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	027214	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	010045869	OTHER	MI	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0824144	OTHER	MI	BLUE CROSS BLUE SHIELD
2	1780685008	OTHER	MI	HAP
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	126367	OTHER	MI	PRIORITY HEALTH
5	1780685008	OTHER	MI	BLUE CARE NETWORK
6	382211173	OTHER	MI	ALL OTHERS ON 8/9/05

General Provider Information

NPI Number	:	1780685008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CECELIA F. HISSONG M.D.

Provider Business Mailing Address
First Line	:	23100 CHERRY HILL ST
Second Line	:	SUITE 8
City	:	DEARBORN
State	:	MI
Zip	:	48124-1493
Country	:	US
Telephone Number	:	313-563-5310
Fax Number	:	313-563-8147

Provider Business Practice Location Address
First Line	:	23100 CHERRY HILL ST
Second Line	:	SUITE 8
City	:	DEARBORN
State	:	MI
Zip	:	48124-1493
Country	:	US
Telephone Number	:	313-563-5310
Fax Number	:	313-563-8147

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	02/12/2010

Similar Medicare Providers

1841121597 — SUZANNE FELICE GALANTY RN
Practice Location Address:

23100 CHERRY HILL ST STE 1
DEARBORN, MI
48124-1493

Practice Phone: 313-274-5000
Practice Fax:

1659351948 — DR. HELENE CLAIRE DOMBROWSKI M.D.
Practice Location Address:

23100 CHERRY HILL ST , SUITE #10
DEARBORN, MI
48124-1493

Practice Phone: 313-563-6655
Practice Fax: 313-563-5517

1386607877 — DR. WILLIAM JOHN PETERS DPM
Practice Location Address:

23100 CHERRY HILL ST
DEARBORN, MI
48124-1493

Practice Phone: 313-278-5444
Practice Fax: 313-278-4800

1972566487 — WILLIAM J PETERS DPM,PC
Practice Location Address:

23100 CHERRY HILL ST
DEARBORN, MI
48124-1493

Practice Phone: 313-278-5444
Practice Fax: 313-278-4800

1720180672 — IKHLAS R PUTRUS
Practice Location Address:

23100 CHERRY HILL ST
DEARBORN, MI
48124-1493

Practice Phone: 313-274-5990
Practice Fax: 313-274-1479

1033295167 — CECELIA F. HISSONG, M. D., P. C.
Practice Location Address:

23100 CHERRY HILL RD.
DEARBORN, MI
48124-1493

Practice Phone: 313-563-5310
Practice Fax: 313-563-8147

Directions to “ DR. CECELIA F. HISSONG M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.