Individual
JOHN C PANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20952 E 12 MILE RD STE 200, SAINT CLAIR SHORES, MI 48081-3203
(586) 771-4820
(586) 771-6620
Mailing address
20952 E 12 MILE RD STE 200, SAINT CLAIR SHORES, MI 48081-3203
(867) 714-8205
(586) 771-6620
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
070447
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2206344162
B S
MI
05
—
4689705
—
MI
01
—
P00176795
RR MC
MI
Enumeration date
05/18/2006
Last updated
10/24/2023
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