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
- City
- Marshfield
- State
- Wisconsin
- ZIP Code
- 54449-8337
- Phone
- (715) 486-9365
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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