Michael John Balfanz, WLMT

NPI #1265818843 in Stoughton, Wisconsin

Provider Information

NPI Number: 1265818843
Entity Type: Individual
Name: Michael John Balfanz, WLMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Contractor
Credential: WLMT
Enumeration Date: Aug 5, 2015
Last Updated: Aug 5, 2015

Practice Location

Address: 2585 DOOR CREEK RD
City: Stoughton
State: Wisconsin
ZIP Code: 53589-2842
Phone: (608) 712-2775

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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