Individual
DR. DONALD ROST BANIK
Active
Individual
DR. DONALD ROST BANIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., MPH
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
57168
MN
2084P0800X
Psychiatry Physician
LP00915
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107219
MINNESOTA MEDICAL LICENSE
MN
01
—
1447312160
BLUECROSS/ BLUESHIELD OF MN
MN
Enumeration date
12/16/2006
Last updated
01/24/2014
Update your record
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