Individual
DR. JOHN HERBERT BANNWARTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4501 E ARROWHEAD PKWY, SIOUX FALLS, SD 57110-2701
(605) 999-9451
Mailing address
25134 CAMPGROUND RD, MITCHELL, SD 57301-7829
(605) 999-9451
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
659
SD
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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