Healthcare Provider Details

I. General information

NPI: 1477849727
Provider Name (Legal Business Name): MR. STEVE MICHAEL SEKELSKY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2011
Last Update Date: 06/20/2024
Certification Date: 06/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1040 W BRISTOL RD
FLINT MI
48507-5516
US

IV. Provider business mailing address

705 S DORT HWY
FLINT MI
48503-2852
US

V. Phone/Fax

Practice location:
  • Phone: 810-257-3709
  • Fax:
Mailing address:
  • Phone: 810-257-0092
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: