| NPI | 1528043593 |
|---|---|
| Other Name | MARC S. BANNER SR. |
| Entity Type | Organization |
| Authorized Contact | MARC STEPHAN BANNER Primary Owner 937-482-0042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH HMEP33019) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2020-08-22 |