John Bannwarth, O.D

NPI 1689824856 · on the registry since 2008 · sole proprietor

Practice

Address: 4501 E Arrowhead Pkwy
Sioux Falls, SD 57110
Phone: (605) 999-9451
Organisation at this address: Shopko Stores Operating Co Llc
Shopko Stores Operating Co. Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 152W00000X
152W00000X
Licence states on file: SD
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-09-24

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 South Dakota