Individual
DR. DEBRA JOYCE PANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
741 SCHOLL RD, MANSFIELD, OH 44907-1571
(419) 774-6872
(419) 774-6882
Mailing address
190 KIMBERWICK CT, LEXINGTON, OH 44904-9425
(419) 774-6872
(419) 774-6882
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
35006890P
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2081885
—
OH
01
—
35006890
STATE ID
OH
Enumeration date
03/13/2007
Last updated
02/23/2012
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