Individual
DR. ANTHONY H BALCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5250 S 108TH ST, HALES CORNERS, WI 53130-1321
(414) 525-2400
(414) 525-2401
Mailing address
5250 S 108TH ST, HALES CORNERS, WI 53130-1321
(414) 525-2400
(414) 525-2401
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
26912
WI
2088P0231X
Pediatric Urology Physician
Primary
26912
WI
2088P0231X
Pediatric Urology Physician
V8461
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007000261M
HUMANA
—
05
—
1487604906
—
WI
Enumeration date
05/12/2006
Last updated
12/23/2025
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