IndividualActive
Andrew Pankow, MD
NPI 1790711992 · Family Medicine Physician · Ketchikan, AK
Provider details
- NPI number
- 1790711992
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 3306 (AK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone: (907) 228-8140
Fax: (907) 228-8440
Approximate (ZIP-level) locationGet directions
Mailing address
3100 Tongass Ave
Ketchikan, AK 99901-5746
Registry dates
- Enumerated
- 2006-06-23
- Last updated
- 2007-10-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.