Individual
RAKESH PATYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1155 N MAYFAIR RD, WAUWATOSA, WI 53226-3462
(414) 955-5990
(414) 955-6282
Mailing address
1155 N MAYFAIR RD, WAUWATOSA, WI 53226-3462
(414) 955-5990
(414) 955-6282
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11034-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336711563
—
WI
Enumeration date
07/16/2021
Last updated
09/05/2023
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