Individual
BLAIR NICOLE PANCHECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
1522 JANES AVE, SAGINAW, MI 48601-1819
(989) 755-0316
(989) 755-0956
Mailing address
8693 E PRIOR RD, DURAND, MI 48429-9468
(810) 287-7944
(810) 733-7898
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
4704229884
MI
Other
Enumeration date
10/11/2012
Last updated
04/09/2021
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