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1245208644
RICHARD E CARBALLO
MILWAUKEE, WI
NPI
1245208644
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0129X Surgery, Vascular Surgery
(Licence: WI 34732)
Enumeration Date
2006-03-10
Last Update Date
2021-12-21
Business Address
RICHARD E CARBALLO M.D.
2801 W KK RIVER PKWY SUITE 330
MILWAUKEE, WI 53215-3669
Phone number: 414-649-3240
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Mailing Address
RICHARD E CARBALLO M.D.
2801 W KK RIVER PKWY SUITE 330
MILWAUKEE, WI 53215-3669
Phone number: 414-649-3240
Copy
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