Provider Information for 1225426695
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MARK PANASIEWICZ
Sex: Male
NPI: 1225426695
Last Updated: 2024-12-19
Certification Date: 2024-12-16
Certification Date: 2024-12-16
Details
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NPI | 1225426695 | ||||||||
Enumeration Date | 2015-01-07 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
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: | ||||||||
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