Individual
DR. MICHAEL JAMES BANYASZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 N GRANDVIEW AVE, DUBUQUE, IA 52001-6388
(563) 582-1881
Mailing address
350 N GRANDVIEW AVE, DUBUQUE, IA 52001-6388
(563) 582-1881
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R6741
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35.091111
STATE MEDICAL BOARD OF OHIO LICENSE
OH
05
—
386672501
—
TX
05
—
386672503
—
TX
Enumeration date
08/26/2007
Last updated
12/20/2023
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