Arizona
Board of Licensing
Rosalie E. Banasiak MD
Medical Doctor
License number
15037
Date granted
09/28/1984
Class
Medical Doctor
Status
Active
Address
Concentra, 12808 N Black Canyon Hwy, Phoenix AZ 85029-1346
arizonalicensing.com
ID 22254676
LAST UPDATED 2026-04-02 16:41:09 UTC
LAST UPDATED 2026-04-02 16:41:09 UTC