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Provider Information for 1225426695


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MARK PANASIEWICZ


Sex: Male

NPI: 1225426695
Last Updated: 2024-12-19
Certification Date: 2024-12-16

Details

NameValue
NPI1225426695
Enumeration Date2015-01-07
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 813 SIGSBEE RD APT 301
KEY WEST, FL 33040-6700
United States

Phone: 906-281-7554 | Fax:
 
Primary Practice Address CARING ABOUT PARTNERS (CAP)
25681 N. LAIRD HTS RD
PELKIE, MI 49958
United States

Phone: 906-281-7554 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)MI6801096888State license
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalMI6801096888