Search › Wisconsin › 152W00000X
Jeff Banas, OD
NPI 1619328606 · on the registry since 2016
Practice
- Address
- 3805b Spring St Ste 140
Mount Pleasant, WI 53405 - Phone
- (262) 637-0500
- Fax
- (262) 635-8027
- Organisation at this address
- Mark E Decheck Md Sc
Drs Decheck And Mataczynski Md ScInferred from a shared address, not stated in the registry. - Clinicians at this address
- 16
Additional practice sites
- 9916 75th St Ste 101, Kenosha, WI
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
- 2024-01-09
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