Organization
PURU HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAMIQ BANDAY MD (OWNER)
(414) 218-7184
Entity
Organization
Contact information
Practice address
2741 W LAYTON AVE, STE 201, MILWAUKEE, WI 53221
(414) 672-8050
Mailing address
2840 NORMAN DR, BROOKFIELD, WI 53045-3378
(414) 218-7184
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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