Basic Information
| Provider Information | |||||||||
| NPI: | 1568580892 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PABON-RAMOS | ||||||||
| FirstName: | WALESKA | ||||||||
| MiddleName: | MICHELLE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD, MPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3060 WHISPERWOOD DR APT 409 | ||||||||
| Address2: | |||||||||
| City: | ANN ARBOR | ||||||||
| State: | MI | ||||||||
| PostalCode: | 481053418 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6172714660 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2301 ERWIN RD DUKE NORTH DUMC 3808 | ||||||||
| Address2: | |||||||||
| City: | DURHAM | ||||||||
| State: | NC | ||||||||
| PostalCode: | 277100999 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9196810139 | ||||||||
| FaxNumber: | 9196132680 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/26/2007 | ||||||||
| LastUpdateDate: | 05/10/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0204X | 163179 | NC | Y | Allopathic & Osteopathic Physicians | Radiology | Vascular & Interventional Radiology |
No ID Information.