Pedro M. Banda MD

NPI 1033106877 - Urology - 208800000X

NPI Details
NPI 1033106877
Gender Male
Enumeration Date 10/05/2005
Last Updated 06/07/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
2311 N PROSPECT AVE
MILWAUKEE WI, 53211-4445, US
Phone (414) 319-3000
Fax (414) 319-3087
Business Location
4425 N PORT WASHINGTON RD
ATTN: CSMCP CLINIC CREDENTIALING
GLENDALE WI, 53212-1082, US
Phone (414) 319-3000
Fax
Toxanomy
Taxonomy Code 208800000X
License State Wisconsin
License Number 45820
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According to our database, Dr. Pedro M. Banda MD NPI is 1033106877, taxonomy code is 208800000X and license number is 45820, license state is located at Wisconsin. Pedro M. Banda MD physically located at 2311 N Prospect Ave, Milwaukee WI, 53211-4445. NPI Number Pedro M. Banda MD has the Individual type.

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1033106877 NPI number is provided on an as is basis without warranty of any kind. 1033106877 is maintained by the National Plan & Provider Enumeration System. The contents of Pedro M. Banda MD are for informational purposes only.