NPI 1013100312

Brendan Michael Banyon, MD

Practitioner Diagnostic Radiology Physician Grand Rapids, MI

Practice location

Address: 3264 N Evergreen Dr NE, Grand Rapids, MI 49525-9746
Phone: (616) 363-7272

Registered specialties (2)

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 4301090698 (MI)

Other Radiology providers in Michigan →

Diagnostic Radiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 56973 (WI)

Registry record

NPI: 1013100312
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Aug 2007
Record last updated: 29 Nov 2018

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.