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Individual

RAMADEVI BALIJA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5650 N GREEN BAY AVE, SUITE 210, GLENDALE, WI 53209-4446
(414) 247-9530
(414) 247-1875
Mailing address
5650 N GREEN BAY AVE, SUITE 210, GLENDALE, WI 53209-4446
(414) 247-9530
(414) 247-1875

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
40733-020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1881620292
WI
Enumeration date
06/25/2006
Last updated
11/18/2014
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