Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARSHALL JOHN BALES, M.D.
ActiveForensic Psychiatry · WINNEBAGO, WI
Registration Details
- NPI Number
- 1467494211
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2006 (19.878935340613 yrs)
- Last Updated
- Apr 7, 2017
- Licenses
-
31871 (WI)04-23919 (KS)
Practice Information
- Address
-
1300 SOUTH DRIVEWINNEBAGO, WI, 549850009Browse WI providers · Browse ZIP 54985
- Phone
- 9202354910
- Fax
- 9202372043
- Primary Specialty
-
Forensic Psychiatry
2084F0202X
- Additional Specialty
- Psychiatry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.