RICHARD E CARBALLO M.D.
Individual Provider (NPI-1)
Active
Provider Information
- NPI Number
1245208644- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 2801 W KK RIVER PKWY SUITE 330, MILWAUKEE, WI, 532153669
- Phone
- (414) 649-3240
- Fax
- (414) 649-3244
Specialties & Taxonomies
Unknown
Primary License: WI #34732