# MAZEN ALSAQA MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669919361
- **Authorized official:** MAZEN ALSAQA M.D. (OWNER)
- **Authorized official phone:** (248) 979-1249

## Contact information

- **Practice address:** 1988 LONG MEADOW DR, STERLING HEIGHTS, MI 48314-3783
- **Practice address phone:** (248) 979-1249
- **Mailing address:** 1988 LONG MEADOW DR, STERLING HEIGHTS, MI 48314-3783

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301101042 | MI | Yes |

## Other

- **Enumeration date:** 01/20/2017
- **Last updated:** 01/20/2017