Individual
FORD BALLANTYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792
(608) 263-1530
(608) 265-8887
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
(608) 829-5485
Taxonomy
Speciality
Code
Description
License number
State
207RA0002X
Adult Congenital Heart Disease Physician
17432
WI
207RC0000X
Cardiovascular Disease Physician
Primary
17432
WI
Other
Enumeration date
03/02/2006
Last updated
07/28/2023
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