Healthcare Provider Details

I. General information

NPI: 1538078720
Provider Name (Legal Business Name): ROBIN BANYASZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3375 LAKE RIDGE DR
DUBUQUE IA
52003-7864
US

IV. Provider business mailing address

459 WYATT DR
PEOSTA IA
52068-9118
US

V. Phone/Fax

Practice location:
  • Phone: 563-207-8932
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberA-133
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: