Individual
MICHAEL J PASSARELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 20TH ST, KNOXVILLE, TN 37916-1809
(865) 524-1631
Mailing address
1225 E WEISGARBER RD, STE 200, KNOXVILLE, TN 37909-2604
(865) 584-4747
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17922
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110098562
RR MEDICARE PIN
TN
05
—
3025798
—
TN
Enumeration date
06/10/2006
Last updated
05/09/2008
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