Individual
DR. BRENDAN MICHAEL BANYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 363-7272
Mailing address
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 363-7272
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301090698
MI
2085R0202X
Diagnostic Radiology Physician
56973
WI
Other
Enumeration date
08/21/2007
Last updated
11/29/2018
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