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

JODY BANISTER, MD

Active

JODY BANISTER, MD is a Internal Medicine healthcare provider located in GRAND RAPIDS, Michigan. NPI 1881647501 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · GRAND RAPIDS, MI

Registration Details

NPI Number
1881647501
Provider Type
Individual
Gender
Female
NPI Issued
May 17, 2006 (20.259716225609 yrs)
Last Updated
Oct 5, 2010
License
4301076654 (MI)

Practice Information

Address
300 LAFAYETTE AVE SE
SUITE 3000
GRAND RAPIDS, MI, 495034650
Browse MI providers · Browse ZIP 49503
Phone
6166856919
Fax
6166853063
Primary Specialty
Internal Medicine
207R00000X

Other Internal Medicine Providers in GRAND RAPIDS, MI

Name Credential NPI
DR. PATRICIA REILLY LAGRAND MD 1215931258
DR. KENNETH J FAWCETT JR. MD 1972507788
JOSIP DIVIC MD 1770587305
ROBERT D. LANG MD 1871597377
GERALD LEE MD 1265437420
ROBERT K JARVE MD 1285639161
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.