Organization
PARAGON HEALTH, P.C.
Active
Parent organization
PARAGON HEALTH, P.C.
Other names
Southwest Michigan Dermatology
Organization subpart
Yes
Provider details
NPI number
Legal business name
PARAGON HEALTH, P.C.
Authorized official
DR. MARK C. RUMMEL M.D. (PRESIDENT)
(269) 341-4554
Entity
Organization
Contact information
Practice address
3000 OLD CENTRE RD, PORTAGE, MI 49024-4883
(269) 321-7546
(269) 321-1705
Mailing address
3000 OLD CENTRE RD, PORTAGE, MI 49024-4883
(269) 321-7546
(269) 321-1705
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070C910440
BLUE CROSS & BLUE SHIELD
MI
01
—
CN8688
RAILROAD MEDICARE
—
Enumeration date
06/09/2006
Last updated
01/12/2022
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