Individual
ERIC A BANNEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 355-3255
(812) 333-5978
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01043608A
IN
208M00000X
Hospitalist Physician
01043608A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200023880
—
IN
Enumeration date
06/17/2005
Last updated
09/15/2025
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