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NPI Profile for CAROL BALLWEG in FITCHBURG, WI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Diabetes Educator |
163WD0400X |
| NPI Number | 1609990381 |
|
| Status | Active | |
| Credentials | APNP | |
| Entity | Individual | |
| Enumeration date | 03/19/2007 | |
| Last updated | 09/08/2011 - About 15 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CAROL BALLWEG
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