Individual
DENNIS C PACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
5101006508
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4836829
—
MI
05
—
4836838
—
MI
01
—
5101006508
CONTROLLED SUBSTANCE
—
Enumeration date
11/03/2005
Last updated
03/07/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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