Individual
MICHAELA SKYLAR BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
235 N PEARL ST, BROCKTON, MA 02301-1794
(508) 427-3000
Mailing address
960 MASSACHUSETTS AVE STE 2, BOSTON, MA 02118-2690
(617) 414-4505
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1025185
MA
207P00000X
Emergency Medicine Physician
331611
LA
207P00000X
Emergency Medicine Physician
334087
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2020
Last updated
02/11/2026
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