DR. Rosalie E Banasiak, MD

NPI #1174648323 in Phoenix, Arizona

Provider Information

NPI Number
1174648323
Entity Type
Individual
Name
DR. Rosalie E Banasiak, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Preventive Medicine - Occupational Medicine
Credential
MD
Enumeration Date
Mar 20, 2007
Last Updated
Sep 27, 2011

Practice Location

Address
12808 NORTH BLACK CANYON HIGHWAY
State
Arizona
ZIP Code
85029
Phone
(602) 375-1155

Specialties & Taxonomy Codes

Specialty
Preventive Medicine - Occupational MedicineOccupational Medicine

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