Individual
SUSAN KAYE BALCIULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1004 STATE ST, BETTENDORF, IA 52722-4856
(563) 355-5535
Mailing address
555 VALLEY VIEW DR, MOLINE, IL 61265-6138
(309) 743-7308
(309) 765-7999
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24312
IA
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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