Individual
CARMEN S BALDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
375 W. RIVER WOODS PRKWY, GLENDALE, WI 53212
(414) 326-1514
(414) 326-1574
Mailing address
788 N. JEFFERSON STREET, SUITE 300 / ATTN. KAAREN BUTZEN, MILWAUKEE, WI 53202-3710
(414) 272-8950
(414) 272-0859
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
47048
WI
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
47048
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811095342
—
WI
Enumeration date
09/20/2006
Last updated
11/07/2016
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