Individual
LOUIS WALTER BANITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2514 KELLOGG AVE, AMES, IA 50010-4863
(515) 232-1122
Mailing address
2514 KELLOGG AVE, AMES, IA 50010-4863
(515) 232-1122
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17229
IA
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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