Individual
DR. MARSHALL BARNETT SACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
39500 W 10 MILE RD, STE. 100, NOVI, MI 48375-2947
(248) 476-0035
(248) 476-2418
Mailing address
39500 W 10 MILE RD, STE. 100, NOVI, MI 48375-2947
(248) 476-0035
(248) 476-2418
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101007596
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0156304195
BCBSM
MI
01
—
0800028260
RAILROAD MEDICARE
MI
05
—
1411744
—
MI
01
—
A76040
HAP
MI
01
—
DR630349
MCARE
MI
01
—
MS007596
BCBSM OTHER IDENTIFIER
—
Enumeration date
05/28/2005
Last updated
04/26/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us