Individual
PHILLIP SASSER III
Active
Individual
PHILLIP SASSER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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