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1033106877
PEDRO M. BANDA
MILWAUKEE, WI
NPI
1033106877
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: WI 45820)
Enumeration Date
2005-10-05
Last Update Date
2012-06-07
Business Address
Dr. PEDRO M. BANDA MD
2311 N PROSPECT AVE
MILWAUKEE, WI 53211-4445
Phone number: 414-319-3000
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Mailing Address
Dr. PEDRO M. BANDA MD
4425 N PORT WASHINGTON RD ATTN: CSMCP CLINIC CREDENTIALING
GLENDALE, WI 53212-1082
Phone number: 414-319-3000
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