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Rakesh Patyal
Family Nurse Practitioner in Wauwatosa, Wisconsin
NPI 1336711563

Rakesh Patyal is a Family Nurse Practitioner based in Wauwatosa, WI and is specialized in Family. Rakesh Patyal practices in Wauwatosa, WI. The NPI Number for Rakesh Patyal is 1336711563 and holds a License No. 11034-33 (Wisconsin).

The current practice location address for Rakesh Patyal is 1155 N Mayfair Rd, Wauwatosa, WI and can be reached out via phone at 414-955-5990 and via fax at 414-955-6282.

Location: 1155 N Mayfair Rd, Wauwatosa, WI, 53226-3462
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336711563
Provider Name
Rakesh Patyal
Credential
Provider Entity Type
Individual
Gender
Male
Address
1155 N Mayfair Rd, Wauwatosa, WI, 53226-3462
Phone Number
414-955-5990
Fax Number
414-955-6282
Provider Enumeration Date
07/16/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1336711563 05 WI
institution
Provider Business Practice Location Address Details
Address
1155 N Mayfair Rd
City
Wauwatosa
State
Wisconsin
Zip
53226-3462
Phone Number
414-955-5990
Fax Number
414-955-6282
person
Provider Business Mailing Address Details
Address
1155 N Mayfair Rd
City
Wauwatosa
State
Wisconsin
Zip
53226-3462
Phone Number
414-955-5990
Fax Number
414-955-6282
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
11034-33 (Wisconsin)
Definition
Definition to come...
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