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1821093709
BALAJI VISHWANAT
LA CROSSE, WI
NPI
1821093709
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: WI 19374)
Enumeration Date
2005-06-16
Last Update Date
2007-07-08
Business Address
-- BALAJI VISHWANAT MD
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
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Mailing Address
-- BALAJI VISHWANAT MD
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
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