Provider Demographics
NPI:1285529727
Name:STIELL, SHENIZAH UNICA NAOMI (MD)
Entity type:Individual
Prefix:MS
First Name:SHENIZAH
Middle Name:UNICA NAOMI
Last Name:STIELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22101 MOROSS RD
Mailing Address - Street 2:ANESTHESIOLOGY DEPT
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48236
Mailing Address - Country:US
Mailing Address - Phone:313-343-6530
Mailing Address - Fax:810-471-3989
Practice Address - Street 1:22101 MOROSS RD
Practice Address - Street 2:ANESTHESIOLOGY DEPT
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48236
Practice Address - Country:US
Practice Address - Phone:313-343-6530
Practice Address - Fax:810-471-3989
Is Sole Proprietor?:No
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program