Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cassandra Boggon

Individual provider Specialist · NPI 1770803496

Cassandra Boggon is a Specialist in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2010
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Practice location Address checks out

16203 Wyoming St
Detroit, MI 48221-3417
Phone: (313) 864-2788
Fax: (866) 267-7903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 2701115101 (MI)

Record details

NPI number1770803496
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 3, 2010
Last updated in NPPESJune 3, 2010
Mailing address8457 Brace St, Detroit, MI 48228-3144

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