LENISE A. BANSE, M.D.,P.C.
Osteopathic Medicine at Hayes Rd, Clinton Twp, MI

License number
Michigan 4301047653
Category
Osteopathic Medicine
Type
Dermatology
License number
Michigan 4301047653
Category
Osteopathic Medicine
Type
Pediatric Dermatology
License number
Michigan 4301047653
Category
Osteopathic Medicine
Type
Procedural Dermatology
Owner
Name: DR. LENISE BANSE M.D.
Title: OWNER
Phone: (586) 263-3130
Address
Address
42452 Hayes Rd SUITE 3, Clinton Twp, MI 48038
National Provider ID: 1811041890
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LENISE A. BANSE, M.D., PC

42452 Hayes St BLDG 2, Clinton Township, MI 48038

Registration:
Jan 28, 1992
State ID:
419311
Business type:
Domestic Professional Service Corporation
Agent:
Lenise A. Banse, M.d

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