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

Dr. Timothy Pancioli, DO

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1285161315

Dr. Timothy Pancioli, DO is an Anatomic Pathology & Clinical Pathology Physician in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2017.

Licensed in
MI
In the registry since
2017
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1036 Fuller Ave NE
Grand Rapids, MI 49503-1304
Phone: (248) 898-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Blood Banking & Transfusion Medicine Physician (primary) Taxonomy 207ZB0001X · Licence 5101025981 (MI)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 5101023083 (MI)

Record details

NPI number1285161315
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 19, 2017
Last updated in NPPESJune 2, 2022
Certification dateJune 2, 2022
Mailing address230 Hawk Chase Ct, Grand Rapids, MI 49525-3305

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