P Michael Banasik in La Crosse - Oral And Maxillofacial Surgery
P Michael Banasik - NPI 1932103900
P Michael Banasik is a Oral And Maxillofacial Surgery in La Crosse, Wisconsin. P Michael Banasik practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for P Michael Banasik is 1932103900. The last update date is 2007-07-08.
P Michael Banasik's current location address is 1836 South Ave, La Crosse, Wisconsin. You can contact this provider via phone number 6087827300 and fax number 6087754467. The mailing address for P Michael Banasik is 1836 South Ave, La Crosse, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | P Michael Banasik |
|---|---|
| Address | 1836 South Ave, La Crosse, Wisconsin |
| Phone Number | 6087827300 |
| Fax Number | 6087754467 |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1932103900 |
|---|---|
| Provider Enumeration Date | 2005-06-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1836 South Ave |
|---|---|
| City | La Crosse |
| State | Wisconsin (WI) |
| Post Code | 5460154290 |
| Phone Number | 6087827300 |
| Fax Number | 6087754467 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 5000273 |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33663300 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to P Michael Banasik by the Centers for Medicare & Medicaid Services?
The P Michael Banasik has been assigned the NPI (National Provider Identifier) 1932103900. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the P Michael Banasik located?
The P Michael Banasik is located at 1836 South Ave, La Crosse, WI 5460154290.
What is P Michael Banasik's specialized field of practice, and what is the corresponding taxonomy classification code?
The P Michael Banasik's area of specialization is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 1223S0112X.
On what date did P Michael Banasik receive its 1932103900 assignment from the Centers for Medicare & Medicaid Services?
The P Michael Banasik was assigned its 1932103900 on 2005-06-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding P Michael Banasik, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to P Michael Banasik, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.