Organization
HILLSDALE PEDIATRICS CLINIC PC
Active
Other names
Hillsdale Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SACKMAN M.D. (OWNER)
(517) 437-8325
Entity
Organization
Contact information
Practice address
451 HIDDEN MEADOWS DR, SUITE 200, HILLSDALE, MI 49242-9812
(517) 437-8325
(517) 437-8327
Mailing address
1131 N OSSEO RD, P.O. BOX 187, HILLSDALE, MI 49242-9714
(517) 523-3695
(517) 523-3311
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MS086960
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105336218
—
MI
01
—
3503013872
BCBSM
—
Enumeration date
08/20/2009
Last updated
08/06/2013
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