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1801867254
JOHN MIKE BANOWETZ
OKLAHOMA CITY, OK
NPI
1801867254
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology Neurology
(Licence: OK 10184)
Enumeration Date
2006-02-01
Last Update Date
2014-04-21
Business Address
JOHN MIKE BANOWETZ MD
4120 W MEMORIAL RD #218
OKLAHOMA CITY, OK 73120
Phone number: 405-302-2661
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Mailing Address
JOHN MIKE BANOWETZ MD
4401 W MEMORIAL RD SUITE 140
OKLAHOMA CITY, OK 73134-1785
Phone number: 405-752-3162
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