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1699848648
MICHAEL WAYNE BANKER
CANON CITY, CO
NPI
1699848648
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CO 27050)
Enumeration Date
2006-11-16
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL WAYNE BANKER M.D.
712 MACON AVE
CANON CITY, CO 81212-3314
Phone number: 719-275-8646
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Mailing Address
Dr. MICHAEL WAYNE BANKER M.D.
712 MACON AVE
CANON CITY, CO 81212-3314
Phone number: 719-275-8646
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