Individual
DENNIS C PACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
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
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
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