Mark Walter Pankonin, MD
Family Medicine in Saginaw, MI. Individual provider (NPI-1).
NPI number1477645539
StatusActive
Last updated in NPPESDec 18, 2009
Details
- NPI
- 1477645539
- Entity type
- Individual (NPI-1)
- Name
- Mr. Mark Walter Pankonin
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 28, 2006
- Last updated
- Dec 18, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MP035123 | MI | Yes |
Practice location
1600 Midland RdSaginaw, MI 48638
Phone 989-793-0510 · Fax 989-793-9491
Mailing address
1600 Midland RdSaginaw, MI 48638
Phone 989-793-0510 · Fax 989-793-9491
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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