Organization
DENNIS C. PACKEY, DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS C PACKEY DO (OWNER)
(313) 886-0600
Entity
Organization
Contact information
Practice address
20867 MACK AVE, SUITE 3, GROSSE POINTE WOODS, MI 48236-1392
(313) 886-0600
(313) 886-0612
Mailing address
20867 MACK AVE, SUITE 3, GROSSE POINTE WOODS, MI 48236-1392
(313) 886-0600
(313) 886-0612
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
DP006508
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114836829
—
MI
05
—
114836838
—
MI
01
—
1158213614
BCBS PIN
MI
Enumeration date
03/19/2007
Last updated
05/16/2013
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