Individual
MARK R PASCHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24911 LITTLE MACK AVE, SUITE C, SAINT CLAIR SHORES, MI 48080-3200
(586) 447-9060
(586) 447-9081
Mailing address
24911 LITTLE MACK AVE, SUITE C, SAINT CLAIR SHORES, MI 48080-3200
(586) 447-9060
(586) 447-9081
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301049934
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H208910
BCBS GROUP
MI
05
—
4080672
—
MI
Enumeration date
05/11/2006
Last updated
01/06/2012
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