MICHAEL ERIC BANWART

MARSHFIELD, WI
NPI1295838316
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: WI  3005-035)
Enumeration Date2006-09-06
Last Update Date2007-07-08
Business Address
MICHAEL ERIC BANWART O.D.
2001 N CENTRAL AVE
MARSHFIELD, WI 54449-8337
Phone number: 715-486-9365
Mailing Address
MICHAEL ERIC BANWART O.D.
2401 MONIQUE LN APT 2
MARSHFIELD, WI 54449-2439
Phone number: 406-868-7836
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