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Avery Bannan
NPI 1871961474 · on the registry since 2015
Practice
- Address
- E10931 State Road 60
Sauk City, WI 53583 - Phone
- (608) 370-2711
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Also registered as
- 2255A2300X
- Sex
- Female
- Record last updated
- 2015-09-13
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