Individual
RENEE MICHELLE BANAKIS HARTL
Active
Individual
RENEE MICHELLE BANAKIS HARTL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
4301501817
MI
207YX0901X
Otology & Neurotology Physician
Primary
4301501817
MI
231H00000X
Audiologist
1601000895
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/04/2008
Last updated
02/15/2024
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