Individual
DAWN K PANKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
275 11TH ST S, WAHPETON, ND 58075-4655
(701) 642-2000
(701) 671-4106
Mailing address
275 11TH ST S, WAHPETON, ND 58075-4655
(701) 642-2000
(701) 671-4106
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5242
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0105974
MEDICA #
ND
01
—
0105975
MEDICA #
ND
01
—
13254PA
MNBS #
ND
01
—
142042
UCARE #
ND
05
—
15069
—
ND
01
—
2208
NDBS #
ND
01
—
33Q41PA
MNBS #
ND
01
—
35625
SIOUX VALLEY #
ND
01
—
676669
AMERICA'S PPO/ARAZ #
ND
05
—
855577000
—
ND
01
—
DA9051015613
PREFERRED ONE #
ND
01
—
HP19584
HEALTHPARTNERS #
ND
01
—
ND100018
LHS #
ND
Enumeration date
06/18/2006
Last updated
08/24/2011
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