Individual
RICHARD W PANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4349 SAWKAW DR NE, GRAND RAPIDS, MI 49525-1768
(616) 361-7327
Mailing address
4349 SAWKAW DR NE, GRAND RAPIDS, MI 49525-1768
(616) 361-7327
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
2901015266
MI
Other
Enumeration date
09/28/2006
Last updated
02/04/2022
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