Individual
DR. MICHAEL JOSEPH BANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1500 S CHURCH ST, WATERTOWN, WI 53094-6404
(920) 261-9225
Mailing address
700 POPLAR PATH, DELAFIELD, WI 53018-1828
(262) 490-7697
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3625-35
WI
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us