Individual
PHILLIP SASSER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3003 W GOOD HOPE RD, MILWAUKEE, WI 53209-2042
(262) 387-8300
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
72971
WI
207QS0010X
Sports Medicine (Family Medicine) Physician
72971-20
WI
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
72971
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100102267
—
WI
Enumeration date
04/25/2017
Last updated
07/24/2024
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