Michael Balistreri
Gynecologist - Maternal & Fetal Medicine
700 S Park St
Madison
, Wisconsin 53715-1830
Michael Balistreri
Gynecologist - Maternal & Fetal Medicine
700 S Park St
Madison
, Wisconsin 53715-1830
(608) 258-6772
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About
Features
Specialties
- Gynecologist - Maternal & Fetal Medicine
Languages spoken
- English
Location
First Address
- Michael Balistreri
- 700 S Park St
- Madison, WI
- Zip : 53715-1830
- Fax : (608) 258-6772
- Phone : (608) 251-6100
Second Address
- Michael Balistreri
- 700 S Park St
- Madison, WI
- Zip : 53715-1830
- Fax : (608) 258-6772
- Phone : (608) 251-6100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 56561-20 | WI |
National Provider Identifier
| NPI | 1225353055 |
|---|---|
| Provider Name | Michael Balistreri |
| First Address | Madison, WI 53715-1830 |
| Second Address | Madison, WI 53715-1830 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/04/2010 |
| Last Update Date | 28/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1225353055 | (05) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.