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Individual
ALEX NISA BALFOUR
Active
Individual
ALEX NISA BALFOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
102315851
WI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
06/17/2026
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