Individual
DAVID JOSEPH BANCUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1701 S WAVERLY RD STE 101, LANSING, MI 48917-4300
(517) 367-7851
(517) 367-7857
Mailing address
1701 S WAVERLY RD STE 101, LANSING, MI 48917-4300
(517) 367-7851
(517) 367-7857
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501020164
MI
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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