Individual
GARY N SACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4200 DIVISION AVE N, COMSTOCK PARK, MI 49321-9546
(616) 252-1600
(616) 252-1666
Mailing address
5900 BYRON CENTER AVE SW, MEDICAL ADMINISTRATION, WYOMING, MI 49519-9606
(616) 252-3243
(616) 252-0260
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101080099
MI
Other
Enumeration date
04/13/2006
Last updated
12/08/2017
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