John Herbert Bannwarth O.D.

NPI 1689824856 - Optometrist - 152W00000X

NPI Details
NPI 1689824856
Gender Male
Enumeration Date 09/24/2008
Last Updated 09/24/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
4501 E ARROWHEAD PKWY
SIOUX FALLS SD, 57110-2701, US
Phone (605) 999-9451
Fax
Business Location
25134 CAMPGROUND RD
MITCHELL SD, 57301-7829, US
Phone (605) 999-9451
Fax
Toxanomy
Taxonomy Code 152W00000X
License State South Dakota
License Number 659
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According to our database, Dr. John Herbert Bannwarth O.D. NPI is 1689824856, taxonomy code is 152W00000X and license number is 659, license state is located at South Dakota. John Herbert Bannwarth O.D. physically located at 4501 E Arrowhead Pkwy, Sioux Falls SD, 57110-2701. NPI Number John Herbert Bannwarth O.D. has the Individual type.

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1689824856 NPI number is provided on an as is basis without warranty of any kind. 1689824856 is maintained by the National Plan & Provider Enumeration System. The contents of John Herbert Bannwarth O.D. are for informational purposes only.