Individual
MICHAEL BRIAN BANIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06106-3315
(860) 545-5000
Mailing address
80 SEYMOUR ST, HARTFORD, CT 06106-3300
(860) 545-5000
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
13088
CT
Other
Enumeration date
03/22/2024
Last updated
04/09/2024
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