Organization
DOWNRIVER ASTHMA & ALLERGY CENTER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW JOSEPH SASSACK III M.D. (PRESIDENT)
(734) 283-4600
Entity
Organization
Contact information
Practice address
12811 NORTHLINE RD, SOUTHGATE, MI 48195-1109
(734) 283-4600
Mailing address
12811 NORTHLINE RD, SOUTHGATE, MI 48195-1109
(734) 283-4600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301048206
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3168875
—
MI
Enumeration date
10/25/2006
Last updated
12/09/2010
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