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

Charlie C Pan, MD

Individual provider Radiation Oncology Physician · NPI 1407948805

Charlie C Pan, MD is a Radiation Oncology in Ann Arbor, Michigan. Graduated from State University of New York at Buffalo School of Medicine in 1999, 27 years ago. Practices with Bellin Memorial Hospital Inc, a 681-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Wisconsin.

Years since qualifying
27
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
MI, WI
In the registry since
2006
Specialties on file
2
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

1500 E Medical Center Dr B2 Fl University Hospital Rm C490
Ann Arbor, MI 48109-0010
Phone: (734) 936-4300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1580 Commanche Ave, Green Bay, WI 54313-5751 — (920) 435-8326

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X · Licence 54475-20 (WI)
Radiation Oncology Physician Taxonomy 2085R0001X · Licence 4301074664 (MI)

Record details

NPI number1407948805
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 29, 2006
Last updated in NPPESDecember 16, 2019
Certification dateDecember 16, 2019

Medicare enrollment

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

Medicare specialtyRADIATION ONCOLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Bellin Memorial Hospital Inc — 681 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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