ANTHONY H BALCOM

HALES CORNERS, WI
NPI1487604906
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2088P0231X 
(Licence: WI  26912)
Additional Taxonomies208800000X Urology
(Licence: WI  26912)
Enumeration Date2006-05-12
Last Update Date2021-11-19
Business Address
Dr. ANTHONY H BALCOM MD
5250 S 108TH ST
HALES CORNERS, WI 53130-1321
Phone number: 414-525-2400
Mailing Address
Dr. ANTHONY H BALCOM MD
5250 S 108TH ST
HALES CORNERS, WI 53130-1321
Phone number: 414-525-2400