Individual
DR. DIMITRIOS PANAGOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
24025 GREATER MACK AVE, SUITE 101, ST CLAIR SHORES, MI 48080-1486
(313) 884-7566
(313) 884-3140
Mailing address
24025 GREATER MACK AVE, SUITE 101, ST CLAIR SHORES, MI 48080-1486
(313) 884-7566
(313) 884-3140
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901002021
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4476009
—
MI
Enumeration date
02/15/2006
Last updated
01/02/2014
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