Individual
LAURIE L BANIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-0453
Mailing address
5051 WHIPPLE LAKE RD, CLARKSTON, MI 48348-3156
(248) 394-9839
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
4704109980
MI
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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