NPI 1033106877

Pedro M. Banda, MD

Practitioner Urology Physician Milwaukee, WI

Practice location

Address: 2311 N Prospect Ave, Milwaukee, WI 53211-4445
Phone: (414) 319-3000
Fax: (414) 319-3087
Mailing address: 4425 N Port Washington Rd Attn: Csmcp Clinic Credentialing, Glendale, WI 53212-1082

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 45820 (WI)

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Registry record

NPI: 1033106877
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Oct 2005
Record last updated: 7 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.