License holder summary

Rosalie E. Banasiak MD is a Medical Doctor licensed to practice in Arizona. The address on file for Rosalie E. Banasiak MD is Concentra, 12808 N Black Canyon Hwy, Phoenix AZ 85029-1346. This licensed professional license is current. The license was granted 09/28/1984.

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

This website is unaffiliated with Arizona and its licensing agencies. Please verify all information directly with the relevant official government authority.

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