Individual
LINDA MARIE BALLMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9200 W LOOMIS RD, FRANKLIN, WI 53132-8887
(414) 529-9200
Mailing address
3658 S 90TH ST, MILWAUKEE, WI 53228-1536
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1528-023
WI
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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