Individual
MICHAEL RICHARD BANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5100 W BROAD ST, COLUMBUS, OH 43228-1607
(614) 544-1790
(614) 544-1745
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
(614) 544-2091
(614) 544-1751
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34.015798
OH
208M00000X
Hospitalist Physician
Primary
34.015798
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/06/2019
Last updated
07/09/2024
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