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Search › Wisconsin › 207RC0000X

Tadeo Diaz Balderrama, MD

NPI 1437458817 · on the registry since 2011

Practice

Address
420 E Division St
Fond Du Lac, WI 54935
Phone
(920) 926-8230
Fax
(920) 926-8997
Organisation at this address
Agnesian Healthcare Inc
Agnesian Healthcare Inc
Agnesian Healthcare Inc
Agnesian Healthcare Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
123

Additional practice sites

  • 700 S Park St, Madison, WI

Registry record

Primary taxonomy
207RC0000X
207RC0000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-12-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin