| Company Name: | LENISE A BANSE MD PC |
| Employer identification number (EIN): | 38-3030884 |
| EIN Issuing Authority | Cincinnati, OH |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
| 401k Pension/Benefits registration | LENISE A BANSE MD PC 401k plan information |
| State of Incorporation | Michigan, MI |
The following addresses have been detected as associated with Tax Indentification Number 383030884
| USA Mailing Address |
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