Individual
DR. JAMES D BANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
406 E ELM ST, CARSON CITY, MI 48811
(989) 584-3971
(989) 584-3729
Mailing address
406 E ELM ST, PO BOX 879, CARSON CITY, MI 48811
(989) 584-3971
(989) 584-3729
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
5101011192
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2675872
—
MI
Enumeration date
04/18/2006
Last updated
11/09/2007
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