Individual
DR. JOHN CHRISTOPHER BANIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9485 MENTOR AVE #210, MENTOR, OH 44060
(440) 205-5835
(440) 205-5744
Mailing address
9485 MENTOR AVE #210, WILLOUGHBY, OH 44094
(440) 205-5835
(440) 205-5744
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.143405
OH
Other
Enumeration date
03/31/2018
Last updated
10/06/2021
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