Individual
MILAN BANJANIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3130 ELLIS ST, BELLINGHAM, WA 98225-1904
(360) 734-4404
(360) 734-7409
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(360) 734-4404
(360) 734-7409
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD00030759
WA
207Q00000X
Family Medicine Physician
Primary
MD00030759
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8178238
—
WA
Enumeration date
10/11/2006
Last updated
05/21/2021
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