# MR. MICHAEL R. BANTON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1619984523
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | R1J81 | MO | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | R1J81 | MO | Yes |

## Other

- **Enumeration date:** 08/02/2006
- **Last updated:** 11/08/2017
