IndividualActive
Anthony Balcom, MD
NPI 1487604906 · Pediatric Urology Physician · Hales Corners, WI
Provider details
- NPI number
- 1487604906
- Entity type
- Individual
- Primary specialty
- Pediatric Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 26912 (WI)
Practice location
5250 S 108th St
Hales Corners, WI 53130-1321
Phone: (414) 525-2400
Fax: (414) 525-2401
Mailing address
5250 S 108th St
Hales Corners, WI 53130-1321
Registry dates
- Enumerated
- 2006-05-12
- Last updated
- 2025-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.