Individual
DR. LUZ L BALMADRID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
107 E HIGHLAND DR, OCONTO FALLS, WI 54154-1002
(920) 846-3092
(920) 846-8313
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7229
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33603-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326349135
CMH SB NPI
WI
01
—
1467583096
CMH PCC OF NPI
WI
01
—
1851477913
CMH NPI
WI
05
—
31872600
—
WI
Enumeration date
01/12/2006
Last updated
08/24/2020
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