Individual
PETER SASSALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 E MEDICAL CENTER DR, 3RD FLOOR CARDIOVASCULAR CENTER RECP C, ANN ARBOR, MI 48109-5864
(888) 287-1082
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301087761
MI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
4301087761
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301087761
MI
Other
Enumeration date
03/28/2007
Last updated
08/11/2016
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