Individual
DAVID MICHAEL ISRAELSTAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
330 S WHITNEY WAY, SUITE 104, MADISON, WI 53705-4638
(608) 236-0450
(608) 236-0458
Mailing address
5705 ARBOR VITAE PL, MADISON, WI 53705-2546
(608) 231-2511
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
17772
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30497800
—
WI
Enumeration date
07/04/2005
Last updated
11/10/2008
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