Michael Eric Banwart, O.D.

NPI #1295838316 in Marshfield, Wisconsin

Provider Information

NPI Number
1295838316
Entity Type
Individual
Name
Michael Eric Banwart, O.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Sep 6, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
2001 N CENTRAL AVE
ZIP Code
54449-8337
Phone
(715) 486-9365

Specialties & Taxonomy Codes

Specialty
Optometrist

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