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Jason Banks
NPI 1225563802 · on the registry since 2017 · sole proprietor
Practice
- Address
- 6501 Yale St Apt 806
Westland, MI 48185 - Phone
- (313) 662-8389
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-04-20
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 Michigan