Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andrew D Pankow, MD

Individual provider Family Medicine Physician · NPI 1790711992

Andrew D Pankow, MD is a Family Practice in Ketchikan, Alaska. Graduated from University of Wisconsin School of Medicine in 1989, 37 years ago. Practices with Peacehealth, a 69-clinician group and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
37
Trained at
University of Wisconsin School of Medicine
Licensed in
AK
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone: (907) 228-8140
Fax: (907) 228-8440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 3306 (AK)

Record details

NPI number1790711992
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2006
Last updated in NPPESOctober 12, 2007
Mailing address3100 Tongass Ave, Ketchikan, AK 99901-5746

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 1989 (37 years in practice)
Group practice Peacehealth — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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