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Michael S Pankow, DC
Chiropractor in Virginia Beach, Virginia
NPI 1750376927

Michael S Pankow is a Chiropractor based in Virginia Beach, VA. Michael S Pankow practices in Virginia Beach, VA and has the professional credentials of DC. The NPI Number for Michael S Pankow is 1750376927 and holds a License No. 0104000747 (Virginia).

The current practice location address for Michael S Pankow is 2000 General Booth Blvd, Virginia Beach, VA and can be reached out via phone at 757-490-0990.

Location: 2000 General Booth Blvd, Virginia Beach, VA, 23454-5876
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750376927
Provider Name
Michael S Pankow
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
2000 General Booth Blvd, Virginia Beach, VA, 23454-5876
Phone Number
757-490-0990
Fax Number
Provider Enumeration Date
09/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
059152 01 VA BCBS
institution
Provider Business Practice Location Address Details
Address
2000 General Booth Blvd
City
Virginia Beach
State
Virginia
Zip
23454-5876
Phone Number
757-490-0990
Fax Number
person
Provider Business Mailing Address Details
Address
2000 General Booth Blvd
City
Virginia Beach
State
Virginia
Zip
23454-5876
Phone Number
757-490-0990
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
0104000747 (Virginia)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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