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General NPI Number Information
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NPI Number | 1912913724
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Entity Type | Organization
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Legal Business Name | WILLIAM MASSEY MD PC
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 03/20/2012
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Provider Practice Location Address
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Address Line | 43243 SCHOENHERR RD
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City | STERLING HEIGHTS
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State | MI
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Zip | 48313-1957
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Country | US
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Telephone | 586-726-0044
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Fax | 586-726-0043
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Provider Business Mailing Address
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Address Line | 43243 SCHOENHERR RD
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City | STERLING HEIGHTS
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State | MI
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Zip | 48313-1957
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Country | US
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Telephone | 586-726-0044
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Fax | 586-726-0043
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM MASSEY
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Credential | MD
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Telephone | 586-726-0044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | WM063765
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License Number State | MI
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