RANDALL E BALLWEG

PRAIRIE DU SAC, WI
NPI1609855303
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  5002051-015)
Enumeration Date2006-01-11
Last Update Date2007-07-08
Business Address
-- RANDALL E BALLWEG D.D.S.
1250 PRAIRIE ST
PRAIRIE DU SAC, WI 53578-2041
Phone number: 608-643-8505
Mailing Address
-- RANDALL E BALLWEG D.D.S.
1250 PRAIRIE ST
PRAIRIE DU SAC, WI 53578-2041
Phone number: 608-643-8505
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