Healthcare Provider Details

I. General information

NPI: 1205126083
Provider Name (Legal Business Name): ERIC CHRISTOPHER PANZNER D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2011
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 N MILLER RD
FAIRLAWN OH
44333-3768
US

IV. Provider business mailing address

50 N MILLER RD
FAIRLAWN OH
44333-3768
US

V. Phone/Fax

Practice location:
  • Phone: 330-836-9721
  • Fax:
Mailing address:
  • Phone: 330-836-9721
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number34011346
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: