Individual
DANIEL ERIC BANNINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3009 S BALDWIN RD, ORION, MI 48359-2362
(248) 393-7707
(248) 393-7708
Mailing address
3009 S BALDWIN RD, ORION, MI 48359-2362
(248) 393-7707
(248) 393-7708
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501015022
MI
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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