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Individual
ERIC MICHAEL BANKERT
Active
Individual
ERIC MICHAEL BANKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
LL37644
SC
2080S0010X
Pediatric Sports Medicine Physician
Primary
320811
LA
Other
Enumeration date
06/05/2015
Last updated
08/30/2019
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