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P Michael Banasik, DDS
Oral and Maxillofacial Surgery (Dentist) in La Crosse, Wisconsin
NPI 1932103900

P Michael Banasik is a Oral and Maxillofacial Surgery (Dentist) based in La Crosse, WI and is specialized in Oral and Maxillofacial Surgery. P Michael Banasik practices in La Crosse, WI and has the professional credentials of DDS. The NPI Number for P Michael Banasik is 1932103900 and holds a License No. 5000273 (Wisconsin).

The current practice location address for P Michael Banasik is 1836 South Ave, La Crosse, WI and can be reached out via phone at 608-782-7300 and via fax at 608-775-4467.

Location: 1836 South Ave, La Crosse, WI, 54601-5429
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Provider Profile Details
NPI Number
1932103900
Provider Name
P Michael Banasik
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1836 South Ave, La Crosse, WI, 54601-5429
Phone Number
608-782-7300
Fax Number
608-775-4467
Provider Enumeration Date
06/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33663300 05 WI
institution
Provider Business Practice Location Address Details
Address
1836 South Ave
City
State
Zip
54601-5429
Phone Number
608-782-7300
Fax Number
608-775-4467
person
Provider Business Mailing Address Details
Address
1836 South Ave
City
State
Zip
54601-5429
Phone Number
608-782-7300
Fax Number
608-775-4467
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
5000273 (Wisconsin)
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.
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