Individual
PAUL PANKRATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1050 E BROADWAY, MONONA, WI 53716-4023
(608) 222-8779
(608) 222-8944
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
756
WI
Other
Enumeration date
03/18/2006
Last updated
01/25/2012
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