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Individual

IMRAN AHMED BALOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
300 N COMMERCIAL ST # 200, NEENAH, WI 54956-2619
(920) 886-0818
(920) 886-0773
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-115581
IL
207RN0300X
Nephrology Physician
Primary
67433-20
WI

Other

Enumeration date
07/17/2006
Last updated
10/13/2022
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