Individual
DR. MICHAEL JOSEPH PANKRATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3135 MIDDLE ROAD, COLUMBUS, IN 47203-4472
(812) 373-7777
(812) 373-0772
Mailing address
3135 MIDDLE ROAD, COLUMBUS, IN 47203-4472
(812) 373-7777
(812) 373-0772
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01051787A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200281200A
—
IN
Enumeration date
05/24/2006
Last updated
07/22/2009
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