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Individual

CHRISTOPHER PANEK

Active
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Individual

CHRISTOPHER PANEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC004669R
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
341984599
TAX ID
PA
01
—
434455
BLUE SHIELD
PA
01
—
P00117002
RAILROAD MEDICARE
PA
Enumeration date
10/25/2006
Last updated
02/03/2026
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