Organization
HILLSDALE PEDIATRIC CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SACKMAN M.D. (OWNER)
(586) 722-7498
Entity
Organization
Contact information
Practice address
3755 15 MILE RD, STERLING HEIGHTS, MI 48310-5358
(586) 722-7498
(586) 722-7499
Mailing address
3755 15 MILE RD, STERLING HEIGHTS, MI 48310-5358
(586) 722-7498
(586) 722-7499
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350C0107300
BCBSM
MI
Enumeration date
06/25/2008
Last updated
10/10/2024
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