Individual
FRANCES STAHL BALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
53126
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013022292
—
WI
01
—
171400017
MEDICARE
WI
05
—
2040633
—
OH
01
—
53126-020
STATE LICENSE
WI
Enumeration date
08/20/2006
Last updated
07/16/2024
Update your record
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