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Organization

RUR, LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RAKESH PATYAL PMHNP (NURSE PRACTITIONER)
(414) 260-5553
Entity
Organization

Contact information

Practice address
16815 W WISCONSIN AVE, BROOKFIELD, WI 53005-5714
(414) 260-5553
(414) 260-8666
Mailing address
18775 BROOKFIELD LAKE DR UNIT 3, BROOKFIELD, WI 53045-6170
(414) 313-5749

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
06/26/2025
Last updated
06/26/2025
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