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Individual

DR. GEETA L BALKISSOON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MB BS

Contact information

Practice address
14000 FAIRVIEW DR, BURNSVILLE, MN 55337-5713
(952) 993-8700
Mailing address
8170 33RD AVE S, PO BOX 1309 MAIL STOP 21110Q, MINNEAPOLIS, MN 55425-4516

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33671
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
744330500
MN
Enumeration date
12/27/2005
Last updated
03/09/2016
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