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

Mr. Mark Thomas Banovetz Jr., MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164124350

Mr. Mark Thomas Banovetz Jr., MD is a Student in an Organized Health Care Education/Training Program in Kalamazoo, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Kalamazoo, MI

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 4351054332 (MI)

Record details

NPI number1164124350
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 20, 2023
Last updated in NPPESMay 21, 2025
Certification dateMay 21, 2025

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