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1427102466
LENISE ANNE BANSE
CLINTON TOWNSHIP, MI
NPI
1427102466
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: MI 4301047653)
Enumeration Date
2007-01-23
Last Update Date
2021-09-10
Business Address
Dr. LENISE ANNE BANSE M.D.
42452 HAYES RD SUITE 3
CLINTON TOWNSHIP, MI 48038-6771
Phone number: 586-263-3130
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Mailing Address
Dr. LENISE ANNE BANSE M.D.
801 YORK ST
MANITOWOC, WI 54220-4630
Phone number: 920-663-7190
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