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Individual
DR. JACOB J PANKA
Active
Individual
DR. JACOB J PANKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.D., M.S.
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1099
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1099
MINNESOTA BOARD OF MEDICAL PRACTICE
MN
01
—
6032-170
THE STATE OF WISCONSIN NATUROPATHIC MEDICINE EXAMINING BOARD
WI
Enumeration date
01/26/2019
Last updated
04/10/2025
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