Balistreri, Michael

Balistreri, Michael is an individual health care provider with primary practice located at 700 S Park St , Madison WI 53715-1830. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is his primary health care specialty. Balistreri, Michael can be contacted via phone (608) 251-6100.

Contact Information

Primary practice address
700 S Park St Madison WI 53715-1830
Phone: (608) 251-6100
Fax: (608) 258-6772
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 56561 Wisconsin
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 56561-20 Wisconsin

Profile Details

NPI number 1225353055
LBN Legal business name Balistreri, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2010
Last updated Feb 1st, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225353055 NPPES
Wisconsin MEDICAID 1225353055

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