LARRY WILLIAM BANYASH

SOUTH BEND, IN
NPI1114997145
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01029868A)
Enumeration Date2006-01-24
Last Update Date2007-07-08
Business Address
-- LARRY WILLIAM BANYASH MD
2610 E JEFFERSON BLVD
SOUTH BEND, IN 46615-2724
Phone number: 574-232-3000
Mailing Address
-- LARRY WILLIAM BANYASH MD
2610 E JEFFERSON BLVD
SOUTH BEND, IN 46615-2724
Phone number: 574-232-3000
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