CORY BANASCHAK

COLUMBUS, IN
NPI1306377874
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: IN  02006100A)
Enumeration Date2017-03-25
Last Update Date2023-01-25
Business Address
CORY BANASCHAK
2325 18TH ST STE 220
COLUMBUS, IN 47201-5389
Phone number: 812-376-5640
Mailing Address
CORY BANASCHAK
PO BOX 775383
CHICAGO, IL 60677-5383
Phone number: 812-376-5315
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