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1003991746
VIVEK BALASUBRAMANIAM
MADISON, WI
NPI
1003991746
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0214X Pediatrics, Pediatric Pulmonology
(Licence: WI 62982-20)
Enumeration Date
2006-10-25
Last Update Date
2021-01-11
Business Address
VIVEK BALASUBRAMANIAM MD
600 HIGHLAND AVE
MADISON, WI 53792-0001
Phone number: 608-263-6420
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Mailing Address
VIVEK BALASUBRAMANIAM MD
7974 UW HEALTH CT
MIDDLETON, WI 53562-5531
Phone number:
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