DR. MARSHALL JOHN BALES


Address: 1300 South Drive, Winnebago, WI 54985-0009
Phone: 9202354910

DR. MARSHALL JOHN BALES (NPI# 1467494211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467494211
Entity Type Individual
Full Name DR. MARSHALL JOHN BALES
Credential M.D.
Practice Address 1300 South Drive
Winnebago
WI 54985-0009
Mailing Address 601 Houghteling St
Iron Mountain
MI 49801-6828
Practice Telephone 9202354910
Practice Fax Number 9202372043
Mailing Telephone 9063965075
Enumeration Date 2006-06-12
Last Update Date 2017-04-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084F0202X Psychiatry & Neurology
Specialization: Forensic Psychiatry
31871 WI Allopathic & Osteopathic Physicians
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
04-23919 KS Allopathic & Osteopathic Physicians

Office Location

Street Address 1300 SOUTH DRIVE
City WINNEBAGO
State WI
Zip Code 54985-0009

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093702383 Louis M Fulton Psychiatry & Neurology 1300 South Drive, Winnebago Mental Health Information, Winnebago, WI 54985-0009 2005-10-01
1225320005 Konstantin A Mikheyev Family Medicine 1300 South Drive, Winnebago, WI 54985-0009 2011-05-11
1992028948 Kaye Zwiacher Psychiatry & Neurology 1300 South Drive, Winnebago, WI 54985 2010-03-04
1417189135 Kevin K Klein Nurse Practitioner 1300 South Drive, Winnebago, WI 54985-0009 2009-08-13
1669627089 Anthony M Lichtfuss Social Worker 1300 South Drive, Winnebago, WI 54985 2008-11-26
1598984346 Kayla M Pope Psychiatry & Neurology 1300 South Drive, Winnebago, WI 54985-0009 2007-04-24
1962626317 Kent M Berney Psychologist 1300 South Drive, Winnebago, WI 54985-0009 2007-04-13
1255451688 Clifford K Stephens Psychologist 1300 South Drive, Winnebago, WI 54985-0009 2007-03-30
1669505996 Margaret Lehnert Dentist 1300 South Drive, Winnebago, WI 54985-0009 2007-03-14
1750425328 Michele A. Andrade Psychiatry & Neurology 1300 South Drive, Winnebago, WI 54985 2007-02-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437315538 Emerald M Hauser Student in an Organized Health Care Education/Training Program 1300 South Treffert Drive, Winnebago, WI 54985 2008-07-29
1427231828 Carlo Gallo Gaanan Family Medicine 1505 North Drive, Winnebago, WI 54985 2007-12-10
1588781488 Paul J Barfknecht Pharmacist 1300 South Dr, Winnebago, WI 54985 2007-03-23
1265924161 Jeremiah Mobisa Gwaro Nurse Practitioner 1505 North Drive, Winnebago, WI 54985 2018-06-06
1932630985 Thomas Michlowski Psychiatry & Neurology 1505 North Drive, Winnebago, WI 54985 2017-03-22
1295094571 Julie Ann Thiel Pharmacist 1505 North Drive, Winnebago, WI 54985 2012-05-08
1124270947 Adam Matthew Berman Psychologist 2901 W Kinnickinnic River Parkway, Ste 516 Medical Psychology Association, Milwaukee, WI 54985 2008-10-13
1225214802 Dara B. Sitter Pharmacist 1300 South Dr., Winnebago, WI 54985 2008-01-14
1083825608 Kelly Lee Straus-diedrick Physical Therapist 725 Butler Ave, Winnebago, WI 54985 2007-05-25
1093864993 Byron J Krause Speech-Language Pathologist 725 Butler Ave, Oshkosh, WI 54985 2007-01-09
Find all providers in zip 54985

Taxonomy Information

Taxonomy Code 2084F0202X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Forensic Psychiatry

Taxonomy Definition

Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427118272 Connie M Lee Psychiatry & Neurology 1300 South Drive, Winnebago, WI 54985-0009 2006-12-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023142064 John Pankiewicz Psychiatry & Neurology 821 W State St, Suite 504, Milwaukee, WI 53233-1427 2007-03-14
1518022748 Kathleen Ann Hughes Psychiatry & Neurology 1265 John Q Hammons Drive, Madison, WI 53717-5500 2006-12-27
1497716443 Murray Kapell Psychiatry & Neurology 113 S Franklin St, Janesville, WI 53548-3812 2006-03-29
1679543060 Ralph K. Baker Psychiatry & Neurology 303 Pearl Ave, Suite C, Oshkosh, WI 54903-0679 2006-01-26
1760638886 Susan Tran Psychiatry & Neurology 1160 Kepler Dr, Green Bay, WI 54311-8321 2008-08-08
1962609537 Mitzi Montgomery Kramer Psychiatry & Neurology 34700 Valley Rd, Oconomowoc, WI 53066-4500 2007-06-28
1356478887 Brad E. R. Smith Psychiatry & Neurology 301 Troy Dr, Madison, WI 53704-1521 2007-02-28
1972647527 Kevin Patrick Kallas Psychiatry & Neurology 3099 E Washington Ave, Madison, WI 53704-4338 2007-02-16
1477631117 Caroline Nicole Palmer Psychiatry & Neurology 2600 N Mayfair Rd, Suite 850, Wauwatosa, WI 53226-1309 2006-11-01
1407963820 Barbara J Murray Psychiatry & Neurology 190 Gardner Ave, #3, Burlington, WI 53105-2160 2006-08-23
Find all providers with the same taxonomy

Competitor

Search similar providers

City WINNEBAGO
Zip Code 54985

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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