Individual
DR. DOUGLAS G PANKRATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1080 S VAN DYKE RD, STE A, BAD AXE, MI 48413-9635
(989) 269-9551
(989) 269-7051
Mailing address
1080 S VAN DYKE RD, STE A, BAD AXE, MI 48413-9635
(989) 269-9551
(989) 269-7051
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
DP042780
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1368714
—
MI
01
—
DP042780
STATE LICENSE NUMBER
MI
Enumeration date
08/17/2005
Last updated
07/08/2007
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