Individual
MICHAEL CHRISTOPHER BANAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 662-0111
Mailing address
217 HICKS ST, PORTLAND, ME 04103-1101
(570) 690-0604
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA223063
ME
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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