Search › Missouri › 224Z00000X
Madison Baniak
NPI 1073182309 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1408 Granite Ridge Dr
Saint Peters, MO 63303 - Phone
- (314) 306-1359
Additional practice sites
- 456 N New Ballas Rd, Saint Louis, MO
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-06-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri