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Organization
HILLSDALE PEDIATRICS CLINIC PC
Active
Organization
HILLSDALE PEDIATRICS CLINIC PC
Active
Other names
Hillsdale Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SACKMAN M.D. (OWNER)
(517) 437-8325
Entity
Organization
Contact information
Practice address
451 HIDDEN MEADOWS DR, SUITE 200, HILLSDALE, MI 49242-9812
(517) 437-8325
(517) 437-8327
Mailing address
1131 N OSSEO RD, P.O. BOX 187, HILLSDALE, MI 49242-9714
(517) 523-3695
(517) 523-3311
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MS086960
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105336218
—
MI
01
—
3503013872
BCBSM
—
Enumeration date
08/20/2009
Last updated
08/06/2013
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