Individual
DR. PHILLIP J. MASTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
461 W HURON ST, NOMC EMERGENCY CENTER, PONTIAC, MI 48341-1601
(248) 857-7440
(248) 857-6992
Mailing address
3554 LOCH BEND DR, COMMERCE TOWNSHIP, MI 48382-4325
(248) 363-2450
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301406121
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104405849
—
MI
Enumeration date
05/30/2006
Last updated
01/23/2012
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