Individual
DENNIS J PANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1096 S BELSAY RD, STE C, BURTON, MI 48509-1948
(810) 743-3351
(810) 244-1239
Mailing address
3495 S CENTER RD, BURTON, MI 48519-1455
(810) 424-2011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301047915
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326141102
—
MI
Enumeration date
09/06/2006
Last updated
03/15/2017
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