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NPI Code Detail

MEDICARE: DR. MICHAEL JOSEPH PANKRATZ M.D.

MEDICARE:  DR. MICHAEL JOSEPH PANKRATZ  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician01051787AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043265093
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL JOSEPH PANKRATZ M.D.
Provider Business Mailing Address
First Line : 3135 MIDDLE ROAD
Second Line :
City : COLUMBUS
State : IN
Zip : 47203-4472
Country : US
Telephone Number : 812-373-7777
Fax Number : 812-373-0772
Provider Business Practice Location Address
First Line : 3135 MIDDLE ROAD
Second Line :
City : COLUMBUS
State : IN
Zip : 47203-4472
Country : US
Telephone Number : 812-373-7777
Fax Number : 812-373-0772
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2006
Last Update Date : 07/22/2009

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Directions to “ DR. MICHAEL JOSEPH PANKRATZ M.D.” Practice Location

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