DR. Beau James Banton, D.C.

NPI #1053602821 in Shorewood, Wisconsin

Provider Information

NPI Number: 1053602821
Entity Type: Individual
Name: DR. Beau James Banton, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Apr 27, 2011
Last Updated: Aug 29, 2019

Practice Location

Address: 3510 N OAKLAND AVE STE 201
City: Shorewood
State: Wisconsin
ZIP Code: 53211-2746
Phone: (144) 962-0700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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