Dr. John Christopher Baniewicz, MD
Internal Medicine in Mentor, OH. Individual provider (NPI-1).
NPI number1609372531
StatusActive
Last updated in NPPESOct 6, 2021
Details
- NPI
- 1609372531
- Entity type
- Individual (NPI-1)
- Name
- Dr. John Christopher Baniewicz
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 31, 2018
- Certification date
- Sep 22, 2021
- Last updated
- Oct 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 35.143405 | OH | Yes |
Practice location
9485 Mentor Ave #210Mentor, OH 44060
Phone 440-205-5835 · Fax 440-205-5744
Mailing address
9485 Mentor Ave #210Willoughby, OH 44094
Phone 440-205-5835 · Fax 440-205-5744
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