Individual
DR. BEAU JAMES BANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3510 N OAKLAND AVE STE 201, SHOREWOOD, WI 53211-2746
(144) 962-0700
(414) 271-1727
Mailing address
3510 N OAKLAND AVE STE 201, SHOREWOOD, WI 53211-2746
(414) 962-0700
(414) 271-1727
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4741-12
WI
Other
Enumeration date
04/27/2011
Last updated
08/29/2019
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