Michael Banwart, O.D

NPI 1295838316 · on the registry since 2006 · sole proprietor

Practice

Address: 2001 N Central Ave
Marshfield, WI 54449
Phone: (715) 486-9365
Fax: (715) 486-1426
Organisation at this address: Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: 152W00000X
152W00000X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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 Wisconsin