P Michael Banasik, DDS is an oral and maxillofacial surgery dentist in La Crosse, WI. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. P Michael Banasik, DDS NPI is 1932103900. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1836 SOUTH AVE
LA CROSSE, WI
ZIP 54601-429
Phone: (608) 782-7300
Fax: (608) 775-4467
The enumeration date for this NPI number is 6/8/2005 and was last updated on 7/8/2007.