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

STEPHEN BANISTER, M.D.

Active Sole Proprietor

STEPHEN BANISTER, M.D. is a Vascular Surgery healthcare provider located in GRASS VALLEY, California. NPI 1376768416 is currently active in the NPPES registry. Verify at CMS.

Vascular Surgery · GRASS VALLEY, CA

Registration Details

NPI Number
1376768416
Provider Type
Individual
Gender
Male
NPI Issued
Apr 16, 2007 (19.339455166939 yrs)
Last Updated
Jul 8, 2007
License
G23826 (CA)
Sole Proprietor
Yes

Practice Information

Address
1117 E MAIN ST
SUITE C
GRASS VALLEY, CA, 959455716
Browse CA providers · Browse ZIP 95945
Phone
5302742274
Primary Specialty
Vascular Surgery
208VP0000X
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.