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Individual
MICHAEL ROBERT BANKS
Active
Individual
MICHAEL ROBERT BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501010057
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650B514100
BCBS
MI
01
—
P00320706
RAILROAD
MI
Enumeration date
07/26/2006
Last updated
06/10/2019
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