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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MARK THOMAS BANOVETZ JR., MD

Active Sole Proprietor

MR. MARK THOMAS BANOVETZ JR., MD is a Student (Health Education/Training) healthcare provider located in KALAMAZOO, Michigan. NPI 1164124350 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · KALAMAZOO, MI

Registration Details

NPI Number
1164124350
Provider Type
Individual
Gender
Male
NPI Issued
Mar 20, 2023 (3.3600456669463 yrs)
Last Updated
May 21, 2025
License
4351054332 (MI)
Sole Proprietor
Yes

Practice Information

Address
1000 OAKLAND DR
KALAMAZOO, MI, 490081282
Browse MI providers · Browse ZIP 49008
Phone
2693374600
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in KALAMAZOO, MI

Name Credential NPI
PETER SMITH M.D. 1770531246
DR. DATCHA TRACY DORVIL DO 1043470065
DR. KRISTIN LOUISE BAYUK MD 1336309459
DR. ERIN CHAVA DUCHAN MD 1891956181
DR. KATIE QUE YANG MD 1982832879
DR. STIENTJE HENDERIKA RAI MD 1588893879
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.