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Individual
ANDREW PANNABECKER
Active
Individual
ANDREW PANNABECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01073065A
IN
208M00000X
Hospitalist Physician
Primary
01073065A
IN
390200000X
Student in an Organized Health Care Education/Training Program
BP1-0037573
TX
Other
Enumeration date
08/03/2012
Last updated
04/05/2017
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