Individual
JOANNA WIKTORIA BANASIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
36850 BARR ST, CLINTON TOWNSHIP, MI 48035-1906
(586) 489-0008
Mailing address
36850 BARR ST, CLINTON TOWNSHIP, MI 48035-1906
(586) 489-0008
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704298007
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2021
Last updated
11/11/2024
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