Susan Kaye Balciulis MD

NPI 1700992401 - Family Medicine - 207Q00000X

NPI Details
NPI 1700992401
Gender Female
Enumeration Date 08/22/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1004 STATE ST
BETTENDORF IA, 52722-4856, US
Phone (563) 355-5535
Fax
Business Location
555 VALLEY VIEW DR
MOLINE IL, 61265-6138, US
Phone (309) 743-7308
Fax (309) 765-7999
Toxanomy
Taxonomy Code 207Q00000X
License State Iowa
License Number 24312
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According to our database, Susan Kaye Balciulis MD NPI is 1700992401, taxonomy code is 207Q00000X and license number is 24312, license state is located at Iowa. Susan Kaye Balciulis MD physically located at 1004 State St, Bettendorf IA, 52722-4856. NPI Number Susan Kaye Balciulis MD has the Individual type.

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1700992401 NPI number is provided on an as is basis without warranty of any kind. 1700992401 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Kaye Balciulis MD are for informational purposes only.