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1760543532
ELISABETH V BALLARD
GREEN BAY, WI
NPI
1760543532
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: WI 41207)
Enumeration Date
2006-12-13
Last Update Date
2010-08-03
Business Address
-- ELISABETH V BALLARD MD
2941 S RIDGE RD
GREEN BAY, WI 54304-5517
Phone number: 920-336-4096
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Mailing Address
-- ELISABETH V BALLARD MD
2941 S RIDGE RD
GREEN BAY, WI 54304-5517
Phone number: 920-336-4096
Copy
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