LEOU ISMAEL BANLA

MILWAUKEE, WI
NPI1255969267
Other NameISMAEL BANLA
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-03-27
Last Update Date2020-03-27
Business Address
LEOU ISMAEL BANLA MD
5000 W CHAMBERS ST
MILWAUKEE, WI 53210-1688
Phone number: 414-447-2195
Mailing Address
LEOU ISMAEL BANLA MD
5000 W CHAMBERS ST
MILWAUKEE, WI 53210-1688
Phone number: 414-447-2195