Individual
GARRY M BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8290 UNIVERSITY AVE NE STE 200, FRIDLEY, MN 55432-1876
(763) 786-9543
(763) 786-3320
Mailing address
8290 UNIVERSITY AVE NE STE 200, FRIDLEY, MN 55432-1876
(763) 786-9543
(763) 786-3320
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
33956
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649220849
—
MN
Enumeration date
05/11/2006
Last updated
10/02/2018
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