Individual
DR. HALEY MYKEL PANKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
901 1ST ST N STE 901A, HOPKINS, MN 55343-7526
(612) 568-8382
Mailing address
38640 GOLF VIEW DR, PRAIRIE DU CHIEN, WI 53821-8443
(612) 568-8382
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1100
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1100
MINNESOTA BOARD OF MEDICAL PRACTICE
MN
01
—
6031-170
THE STATE OF WISCONSIN NATUROPATHIC MEDICINE EXAMINING BOARD
WI
Enumeration date
01/27/2019
Last updated
04/10/2025
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