NPI 1023142064

John Pankiewicz, MD

Practitioner Forensic Psychiatry Physician Milwaukee, WI

Practice location

Address: 821 W State St Suite 504, Milwaukee, WI 53233-1427
Phone: (414) 278-4690
Fax: (414) 223-1817
Mailing address: 821 W State St Room 504, Milwaukee, WI 53233-1427

Registered specialties

Forensic Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084F0202X Licence 29288-020 (WI)

Other Psychiatry & Neurology providers in Wisconsin →

Registry record

NPI: 1023142064
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.