Provider Demographics
NPI:1952378358
Name:DASHER, PAMELA L (MD)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:L
Last Name:DASHER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:50769 SNOWMASS CT
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-7716
Mailing Address - Country:US
Mailing Address - Phone:313-623-4741
Mailing Address - Fax:734-769-0045
Practice Address - Street 1:45211 CHERRY HILL RD
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48188-1001
Practice Address - Country:US
Practice Address - Phone:313-623-4741
Practice Address - Fax:734-769-0045
Is Sole Proprietor?:No
Enumeration Date:2006-03-03
Last Update Date:2023-01-19
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Provider Licenses
StateLicense IDTaxonomies
MI4301080058207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1019346OtherMCLAREN HEALTH PLAN
MI382988086OtherUNITED HEALTHCARE
MI080D410020OtherBLUE CHOICE
MI382988086OtherFIRST HEALTH
MI4823366Medicaid
MIP00295235OtherMETRAHEALTH
MI01003172OtherHEALTH PLUS
MI17477OtherMCARE
MII49240OtherHEALTH NET FEDERAL SERVIC
MI080D410020OtherBCN
MI080D410020OtherBLUE CROSS BLUE SHIELD
MI080D410020OtherCOMMUNITY BLUE
MI1019346OtherHEALTH ADVANTAGE NETWORK