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Contact Information

MICHAEL BALISTRERI, MD
700 S PARK ST
MADISON, WI53715-1830
 Phone: 608-251-6100
 Fax: 608-258-6772
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for MICHAEL BALISTRERI · (Male)

NPI Number 1225353055
Status Active
Credentials MD
Entity Individual
Enumeration date 04/05/2010
Last updated 02/01/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 56561
  • WI License # 56561-20
  • WI Medicaid 1225353055
Hospital affiliation(s)
  • ST MARY'S HOSPITAL - (Acute Care)
    700 SOUTH PARK ST
    MADISON, WI 53715
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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