P Michael Banasik, DDS

NPI #1932103900 in La Crosse, Wisconsin

Provider Information

NPI Number
1932103900
Entity Type
Individual
Name
P Michael Banasik, DDS
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Credential
DDS
Enumeration Date
Jun 8, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
1836 SOUTH AVE
ZIP Code
54601-5429
Phone
(608) 782-7300

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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