Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Robert Bannasch

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1457964330

Robert Bannasch is a Student in an Organized Health Care Education/Training Program in Brookfield, Wisconsin. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
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Practice location Address checks out

13035 W Bluemound Rd Ste 100
Brookfield, WI 53005-8001
Phone: (262) 784-1121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1457964330
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 28, 2020
Last updated in NPPESAugust 28, 2020
Certification dateAugust 28, 2020
Mailing address13035 W Bluemound Rd Ste 100, Brookfield, WI 53005-8001

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