=====================================================
General NPI Number Information
=====================================================
NPI Number | 1912264458
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LEGACY FAMILY MEDICINE PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/23/2012
-----------------------------------------------------
Last Update Date | 10/13/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 35429 SCHOENHERR RD
-----------------------------------------------------
City | STERLING HEIGHTS
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48312-4258
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 586-274-1145
-----------------------------------------------------
Fax | 586-274-1154
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 35429 SCHOENHERR RD
-----------------------------------------------------
City | STERLING HEIGHTS
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48312-4258
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 586-274-1145
-----------------------------------------------------
Fax | 586-274-1154
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | ANTHONY JOHN SAYEGH
-----------------------------------------------------
Credential | D.O.
-----------------------------------------------------
Telephone | 586-274-1145
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------