Individual
DONALD B PASSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1522 JANES AVE, SAGINAW, MI 48601-1819
(989) 755-0316
(989) 755-0956
Mailing address
501 LAPEER AVE, SAGINAW, MI 48607-1208
(989) 759-6464
(989) 399-8233
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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