Banyon, Brendan Michael

Banyon, Brendan Michael is an individual health care provider with primary practice located at 3264 N Evergreen Dr Ne , Grand Rapids MI 49525-9746. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Banyon, Brendan Michael can be contacted via phone (616) 363-7272.

Contact Information

Primary practice address
3264 N Evergreen Dr Ne Grand Rapids MI 49525-9746
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 56973 Wisconsin
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301090698 Michigan

Profile Details

NPI number 1013100312
LBN Legal business name Banyon, Brendan Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2007
Last updated Nov 29th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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