Organization
SUMMIT TOTAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAHAR HASSANE (MANAGER)
(313) 844-0779
Entity
Organization
Contact information
Practice address
55 N POND DR STE 2, WALLED LAKE, MI 48390-3080
(248) 624-6633
(248) 624-0748
Mailing address
1935 N. PONTIAC TRL # A, WALLED LAKE, MI 48390-3110
(248) 624-6633
(248) 624-0748
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301102602
MI
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
02/12/2016
Last updated
11/30/2017
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