Individual
DR. MICHAEL P BANAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
220 S RIVER ST, PLAINS, PA 18705-1137
(570) 826-1555
(570) 822-4445
Mailing address
220 S RIVER ST, PLAINS, PA 18705-1137
(570) 826-1555
(570) 822-4445
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD052858L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000161889
BLUE SHIELD
PA
05
—
0015018410005
—
PA
01
—
806950
FIRST PRIORITY
PR
Enumeration date
07/04/2006
Last updated
11/28/2007
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