Individual
IRA M SABBAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1209 10TH ST, SUITE E, PORT HURON, MI 48060-5262
(810) 985-8170
(810) 985-4660
Mailing address
1209 10TH ST, SUITE D, PORT HURON, MI 48060-5262
(810) 985-8170
(810) 985-4660
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101010323
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3164689
—
MI
05
—
3164698
—
MI
Enumeration date
08/10/2005
Last updated
10/04/2007
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