Individual
GOKULAKRISHNAN BALASUBRAMANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVENUE, DIVISION OF GASTROENTEROLOGY, MILWAUKEE, WI 53226-3522
(414) 805-3310
(414) 805-3885
Mailing address
9200 W WISCONSIN AVENUE, DIVISION OF GASTROENTEROLOGY, MILWAUKEE, WI 53226-3522
(414) 805-3310
(414) 805-3885
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
62348
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0230010
—
OH
Enumeration date
11/03/2008
Last updated
09/14/2023
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