Individual
MR. RICHARD JAMES BANCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
1983 SLOAN PL STE 1, SAINT PAUL, MN 55117-2095
(651) 326-5700
Mailing address
1571 LAUREL AVE UPPR, SAINT PAUL, MN 55104-7493
(262) 707-4995
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12066
MN
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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