Individual
DANIEL SESTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5301 E HURON RIVER DR, YPSILANTI, MI 48197
(734) 712-8676
(734) 712-3855
Mailing address
PO BOX 0446, 24 FRANK LLOYD WRIGHT DR LOBBY J, ANN ARBOR, MI 48106-0446
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301406174
MI
208M00000X
Hospitalist Physician
4301406174
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4686605-10
—
MI
01
—
DS406174
BCBSM
MI
Enumeration date
09/07/2005
Last updated
05/06/2013
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