Individual
DR. VINCENT PHILLIPS BANKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7310 WELLAUER DR, WAUWATOSA, WI 53213-3668
(414) 475-1342
Mailing address
7310 WELLAUER DR, WAUWATOSA, WI 53213-3668
(414) 475-1342
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
17199
WI
2085R0202X
Diagnostic Radiology Physician
Primary
17199
WI
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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