NPI 1811041890

Lenise A. Banse, M.D.,p.C.

Organisation Dermatology Physician Clinton Township, MI

Practice location

Address: 42452 Hayes Rd Suite 3, Clinton Township, MI 48038-6771
Phone: (586) 263-3130
Fax: (586) 263-5183

Authorised official

Name: Lenise Banse
Title: Owner
Phone: (586) 263-3130

Registered specialties (3)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 4301047653 (MI)

Other Dermatology providers in Michigan →

Pediatric Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207NP0225X Licence 4301047653 (MI)

Procedural Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207NS0135X Licence 4301047653 (MI)

Registry record

NPI: 1811041890
Entity type: Organization
NPI issued: 23 Jan 2007
Record last updated: 25 Jun 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.