Organization
DR. BIRUTE BALCIUNAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BIRUTE ZITA BALCIUNAS (PODIATRIST/BUSINESS OWNER)
(262) 652-6555
Entity
Organization
Contact information
Practice address
3535 30TH AVE STE 203, KENOSHA, WI 53144-1632
(262) 652-6555
Mailing address
3535 30TH AVE STE 203, KENOSHA, WI 53144-1632
(262) 652-6555
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
711-025
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43221800
—
WI
Enumeration date
02/22/2008
Last updated
02/22/2008
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