Individual
LINDA ANITA BALLWEG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
208 DORN DR, WAUNAKEE, WI 53597
(608) 849-4897
Mailing address
208 DORN DR, WAUNAKEE, WI 53597-1212
(608) 849-4897
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11207
WI
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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