Lenise A. Banse, M.d.,p.c., NPI 1811041890
Dermatology Physician in Clinton Township, MI, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1811041890
NPI Entity Type Organization
Provider Name Lenise A. Banse, M.d.,p.c.
Other Name
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 42452 Hayes Rd, Suite 3, Clinton Township, MI, US
Provider Mailing Address 42452 Hayes Rd, Suite 3, Clinton Township, MI, US, 480386771
Is Sole Proprietor? No
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Organization Official

Official Name DR. M.D. Lenise Banse
Official Position OWNER
Phone 586-263-3130

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X MULTIPLE SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

207N00000X

Taxonomy Name Dermatology Physician
Classification

Dermatology

Group

Allopathic & Osteopathic Physicians

License No. 4301047653
License State MI
Description A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Other Organization Name

Northeast Family Dermatology Center
Other Name

Business Address

Lenise A. Banse, M.d.,p.c.
42452 Hayes Rd
Suite 3

Clinton Township, MI, US

Phone: 586-263-3130
Fax: 586-263-5183

Mailing Address

Lenise A. Banse, M.d.,p.c.
42452 Hayes Rd
Suite 3
Clinton Township, MI, US
ZIP 480386771
Phone: 586-263-3130
Fax: 586-263-5183

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207NP0225X

Allopathic & Osteopathic Physicians

Dermatology

4301047653 MI No

207NS0135X

Allopathic & Osteopathic Physicians

Dermatology

4301047653 MI No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
101151 MA PREFERRED CHOICES 01
0500688 MA BCBS OF MICHIGAN 01
4037111 MI AETNA 01
131180573496 MA HUMANA 01
DR500262 MI MCARE 01
0705006881 MI BLUE CROSS BLUE SHIELD OF MICHIGAN 01
900013288 MI PRIORITY HEALTH 01
101151 MI CARE CHOICES 01
131180573496 MI HUMANA 01
155665 MI GREAT LAKES HEALTH PLAN 01
0500688001 MI MEDICARE PLUS BLUE 01
2806900 MI MEDICAID 05
80862B MI HEALTH ALLIANCE PLAN 01
MO22874 MI TRICARE 01

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NPI Name Taxonomy Address

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DR. DO, MPH Jimmy Wayne Brandon

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General Motors Health Services / Flint Assembly

Flint, MI

1891221545

Logan Morse

Individual

Pharmacist

7343 Oakhaven Ct Ne

Ada, MI

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