Most Relevant Information
Provider Data
| NPI Number: | 1003251430 |
| Provider Name: | MICHAEL JAMES PANOWICZ |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/29/2013 |
| Last Updated: | 10/21/2021 |
Provider Practice Location
1900 E 4TH ST
SANTA ANA
CA
927053962
Practice Location Phone/Fax
| Phone: | 7149674766 |
| Fax: | 7149674548 |
Provider Mailing Location
1900 E 4TH ST
ATTN: FAMILY MEDICINE RESIDENCY PROGRAM
SANTA ANA
CA
927053962
Provider Mailing Phone/Fax
| Phone: | 7149674766 |
| Fax: | 7149674548 |