Richard William Banks, DO | |
501 Gopher Dr, Tomah, WI 54660-4513 | |
(843) 338-2895 | |
Not Available |
Full Name | Richard William Banks |
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Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 501 Gopher Dr, Tomah, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568469864 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 48100-021 (Wisconsin) | Primary |
Entity Name | Tomah Memorial Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992970453 PECOS PAC ID: 6901897016 Enrollment ID: O20040519000123 |
Mailing Address | Practice Location Address |
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Richard William Banks, DO 501 Gopher Dr, Tomah, WI 54660-4513 Ph: (843) 338-2895 | Richard William Banks, DO 501 Gopher Dr, Tomah, WI 54660-4513 Ph: (843) 338-2895 |
Dr. Paul Liebert, Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 321 Butts Ave, Tomah, WI 54660 Phone: 608-372-2181 | |
Wallace B Brucker, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 321 Butts Ave, Tomah, WI 54660 Phone: 608-374-0303 | |
Aaron M.k. Butler, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1330 N Superior Ave, Tomah, WI 54660 Phone: 608-372-4111 |