Healthcare Provider Details

I. General information

NPI: 1639705551
Provider Name (Legal Business Name): DENNIS PASKAL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2020
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 S WASHINGTON AVE
SAGINAW MI
48601-2551
US

IV. Provider business mailing address

1000 HOUGHTON AVE
SAGINAW MI
48602-5303
US

V. Phone/Fax

Practice location:
  • Phone: 989-907-8000
  • Fax:
Mailing address:
  • Phone: 989-558-6425
  • Fax: 989-746-7723

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number4301515064
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301515064
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: