Individual
JODI BANASZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
715 E MAIN ST STE 115, MIDLAND, MI 48640-5488
(989) 486-1457
Mailing address
728 AVONDALE ST, BAY CITY, MI 48708-5587
(989) 316-5751
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
3502013328
MI
Other
Enumeration date
09/05/2025
Last updated
10/07/2025
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