NPI 1740371087

Richard W Panek, DDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Grand Rapids, MI

Practice location

Address: 4349 Sawkaw Dr NE, Grand Rapids, MI 49525-1768
Phone: (616) 361-7327

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 2901015266 (MI)

Other Oral & Maxillofacial Surgery providers in Michigan →

Registry record

NPI: 1740371087
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Sep 2006
Record last updated: 4 Feb 2022

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.