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Organization

PARAGON HEALTH, PC

Active
Parent organization
PARAGON HEALTH PC
Other names
Advanced Vascular Surgery
Organization subpart
Yes

Provider details

NPI number
Legal business name
PARAGON HEALTH PC
Authorized official
DR. MARK C. RUMMEL MD (PRESIDENT)
(269) 492-6500
Entity
Organization

Contact information

Practice address
1815 HENSON AVE, KALAMAZOO, MI 49048-1510
(269) 492-6507
(269) 492-6461
Mailing address
1815 HENSON AVE, KALAMAZOO, MI 49048-1510
(269) 492-6507
(269) 492-6461

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020C910340
BLUE CROSS BLUE SHIELD
MI
05
1013972769
MI
01
1417961137
BCBSM - BMH
MI
01
G00142
BLUE CARE NETWORK
MI
Enumeration date
04/18/2006
Last updated
01/12/2022
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