Individual
DONALD B PASSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301038058
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0983722
HEALTHPLUS OF MICHIGAN
—
01
—
1010623
MCLAREN HEALTH PLAN
—
05
—
1033107867
—
MI
01
—
104
COMMUNITY CHOICE OF MICHI
—
01
—
121653
GREAT LAKES HEALTH PLAN
—
01
—
160G36111
BCBS OF MI
—
01
—
2987397
MOLINA HEALTH CARE OF MIC
—
01
—
381908328
TRICARE
—
01
—
P74211
BLUE CARE NETWORK OF MICH
—
Enumeration date
10/06/2005
Last updated
04/09/2021
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