Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Rosalie E Banasiak, MD

Individual provider Occupational Medicine Physician · NPI 1174648323

Dr. Rosalie E Banasiak, MD is an Occupational Medicine Physician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

12808 N Black Canyon Hwy
Phoenix, AZ 85029
Phone: (602) 375-1155
Fax: (602) 866-9169
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Medicine Physician (primary) Taxonomy 2083X0100X · Licence 15037 (AZ)

Record details

NPI number1174648323
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 20, 2007
Last updated in NPPESSeptember 27, 2011

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