Individual
DR. MICHAEL JOSEPH FALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 CRAIG RD, EAU CLAIRE, WI 54701-2699
(715) 858-8100
Mailing address
1000 N OAK AVENUE, MARSHFIELD, WI 54449-4038
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
197667
NY
2085R0001X
Radiation Oncology Physician
036153253
IL
2085R0001X
Radiation Oncology Physician
Primary
38962
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02164501
—
NY
Enumeration date
07/19/2005
Last updated
04/20/2023
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