DR. Susan Wanda Balke, DO

NPI #1124013925 in Marianna, Arkansas

Provider Information

NPI Number: 1124013925
Entity Type: Individual
Name: DR. Susan Wanda Balke, DO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Sep 18, 2005
Last Updated: Sep 7, 2007

Practice Location

Address: 171 CHERRY ST
City: Marianna
State: Arkansas
ZIP Code: 72360-1938
Phone: (870) 295-6205

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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