Individual
MICHAEL A PACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
601 JOHN ST, SUITE 100, KALAMAZOO, MI 49007-5341
(269) 373-1592
(269) 373-6270
Mailing address
601 JOHN ST, SUITE 100, KALAMAZOO, MI 49007-5341
(269) 373-1592
(269) 373-6270
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
5101017554
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417961137
BCBSM - BRONSON
MI
01
—
1508822966
NPI
MI
05
—
1508822966
—
MI
Enumeration date
04/25/2006
Last updated
11/27/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us