Individual
CAROL BALLWEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
3051 CAHILL MAIN, FITCHBURG, WI 53711-7109
(608) 661-7200
Mailing address
3051 CAHILL MAIN, FITCHBURG, WI 53711-7109
(608) 661-7200
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
126927-030
WI
363LF0000X
Family Nurse Practitioner
Primary
4542
WI
Other
Enumeration date
03/19/2007
Last updated
09/08/2011
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