Dr LENISE A BANSE is a female medical professional, specializing in Dermatology. She graduated in 1980 from Medical College Of Wisconsin.
FOREFRONT DERMATOLOGY SC
42452 HAYES RD
SUITE 3
CLINTON TWP
MI
480386771
Tel: 5862633130
| Npi | 1427102466 |
| Pac Id | 9931298601 |
| Professional Enrollment Id | I20071203000591 |
| Last Name | BANSE |
| First Name | LENISE |
| Middle Name | A |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 1980 |
| Primary Specialty | DERMATOLOGY |
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| Organization Legal Name | FOREFRONT DERMATOLOGY SC |
| Group Practice Pac Id | 3779471701 |
| Number Of Group Practice Members | 272 |
| Line 1 Street Address | 42452 HAYES RD |
| Line 2 Street Address | SUITE 3 |
| Marker Of Address Line 2 Suppression | |
| City | CLINTON TWP |
| State | MI |
| Zip Code | 480386771 |
| Phone Number | 5862633130 |
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| Professional Accepts Medicare Assignment | Y |
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