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1548333040
MICHAEL C BANNACH
ENCINITAS, CA
NPI
1548333040
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA a60021)
Enumeration Date
2006-11-15
Last Update Date
2021-09-30
Business Address
Dr. MICHAEL C BANNACH M.D.
326 SANTA FE DR
ENCINITAS, CA 92024-5156
Phone number: 760-753-5594
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Mailing Address
Dr. MICHAEL C BANNACH M.D.
10790 RANCHO BERNARDO RD
SAN DIEGO, CA 92127-5705
Phone number: 760-753-5594
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