Individual
DR. JOHN PANKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
821 W STATE ST, SUITE 504, MILWAUKEE, WI 53233-1427
(414) 278-4690
(414) 223-1817
Mailing address
821 W STATE ST, ROOM 504, MILWAUKEE, WI 53233-1427
(414) 278-4690
(414) 223-1817
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
29288-020
WI
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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