Individual
STEVEN ISAMU PANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1000 S COLUMBIA RD, GRAND FORKS, ND 58201-4032
(701) 780-5000
Mailing address
1000 S COLUMBIA RD, GRAND FORKS, ND 58201-4032
(701) 780-5000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1568
ND
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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