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Individual

DR. WILLIAM N PANEK

Active
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Individual

DR. WILLIAM N PANEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
N003785-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000500510001
BLUE CROSS AND SHIELD
NY
01
0061529
GHI
NY
Enumeration date
01/29/2007
Last updated
07/09/2007
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