Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TADEO A DIAZ BALDERRAMA, MD
ActiveCardiovascular Disease · FOND DU LAC, WI
Registration Details
- NPI Number
- 1437458817
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 24, 2011 (15.128664551393 yrs)
- Last Updated
- Dec 30, 2024
- License
-
59901 (WI)
Practice Information
- Address
-
420 E DIVISION STFOND DU LAC, WI, 549354560Browse WI providers · Browse ZIP 54935
- Phone
- 9209268230
- Fax
- 9209268997
- Primary Specialty
-
Cardiovascular Disease
207RC0000X
Other Cardiovascular Disease Providers in FOND DU LAC, WI
| Name | Credential | NPI |
|---|---|---|
| DAVID R BOWMAN | M.D. | 1962492397 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.