# DAWN K PANKOW

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1457396822
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 5242 | ND | Yes |

## Other

- **Enumeration date:** 06/18/2006
- **Last updated:** 08/24/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0105974 | MEDICA \# | ND |
| 01 | — | 0105975 | MEDICA \# | ND |
| 01 | — | 13254PA | MNBS \# | ND |
| 01 | — | 142042 | UCARE \# | ND |
| 05 | — | 15069 | — | ND |
| 01 | — | 2208 | NDBS \# | ND |
| 01 | — | 33Q41PA | MNBS \# | ND |
| 01 | — | 35625 | SIOUX VALLEY \# | ND |
| 01 | — | 676669 | AMERICA'S PPO/ARAZ \# | ND |
| 05 | — | 855577000 | — | ND |
| 01 | — | DA9051015613 | PREFERRED ONE \# | ND |
| 01 | — | HP19584 | HEALTHPARTNERS \# | ND |
| 01 | — | ND100018 | LHS \# | ND |