IndividualActive
Charlie Pan, MD
NPI 1407948805 · Radiation Oncology Physician · Ann Arbor, MI
Provider details
- NPI number
- 1407948805
- Entity type
- Individual
- Primary specialty
- Radiation Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301074664 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1500 East Medical Center Dr
B2 Floor University Hospital Rm C490
Ann Arbor, MI 48109-0010
Phone: (734) 936-4300
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 22487
Green Bay, WI 54305-2487
Additional practice locations (1)
- 1580 Commanche AveGreen Bay, WI 54313-5751Phone: (920) 435-8326Fax: (920) 430-4659
Registry dates
- Enumerated
- 2006-09-29
- Last updated
- 2019-12-16
- Certified
- 2019-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.