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Organization

PEDRO N BANDA MD SC

Active
Other names
Capitol Allergy Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
PEDRO N BANDA MD (PRESIDENT)
(414) 442-9166
Entity
Organization

Contact information

Practice address
6030 W CAPITOL DR, MILWAUKEE, WI 53216-2118
(414) 442-9166
Mailing address
6030 W CAPITOL DR, MILWAUKEE, WI 53216-2118
(414) 442-9166

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
16227
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32857900
WI
Enumeration date
05/08/2006
Last updated
06/12/2008
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