P MICHAEL BANASIK

LA CROSSE, WI
NPI1932103900
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: WI  5000273)
Enumeration Date2005-06-08
Last Update Date2007-07-08
Business Address
-- P MICHAEL BANASIK DDS
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
Mailing Address
-- P MICHAEL BANASIK DDS
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
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