Brent Derrick Banks, BA Valid NPI
Individual provider · Case Manager/Care Coordinator · Pontiac, MI
- NPI
- 1700568508
- Type
- Individual (Type 1)
- Primary specialty
- Case Manager/Care Coordinator
- Specialty group
- Other Service Providers
- Taxonomy code
- 171M00000X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2023-08-02
- Last updated
- 2023-08-02
Practice location
1685 Baldwin Ave Ste 100
Pontiac, MI 48340-1242
(248) 706-3450