Individual
DR. RONALD J PANCNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2805 FAIRFIELD AVE, FORT WAYNE, IN 46807-1218
(260) 456-4880
(260) 456-3559
Mailing address
2805 FAIRFIELD AVE, FORT WAYNE, IN 46807-1218
(260) 456-4880
(260) 456-3559
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01019854
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100463070
—
IN
Enumeration date
06/14/2006
Last updated
10/20/2022
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