JODY BANISTER

GRAND RAPIDS, MI
NPI1881647501
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MI  4301076654)
Enumeration Date2006-05-17
Last Update Date2010-10-05
Business Address
JODY BANISTER MD
300 LAFAYETTE AVE SE SUITE 3000
GRAND RAPIDS, MI 49503-4650
Phone number: 616-685-6919
Mailing Address
JODY BANISTER MD
245 STATE ST SE
GRAND RAPIDS, MI 49503-4328
Phone number: 616-685-1808
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