Individual
JOHN MIKE BANOWETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4120 W MEMORIAL RD, #218, OKLAHOMA CITY, OK 73120
(405) 302-2661
(405) 302-2670
Mailing address
4401 W MEMORIAL RD, SUITE 140, OKLAHOMA CITY, OK 73134-1785
(405) 752-3162
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
10184
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100128980A
—
OK
Enumeration date
02/01/2006
Last updated
04/21/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us