Individual provider · NPI-1

Dr. Yohualli Balderas-Medina Anaya, M.D.

Family Medicine · Madison, WI

NPI number1104260702
StatusActive
Last updated in NPPESSep 12, 2022

Details

NPI
1104260702
Entity type
Individual (NPI-1)
Name
Dr. Yohualli Balderas-Medina Anaya
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Apr 25, 2013
Certification date
Sep 12, 2022
Last updated
Sep 12, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine77415WIYes

Other names

  • Yohualli Balderas-Medina (Professional Name)

Practice location

1102 S Park St
Madison, WI 53715-1708

Phone 608-263-3111 · Fax 608-263-6663

Mailing address

7974 Uw Health Ct
Middleton, WI 53562-5531

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