Provider Demographics
NPI:1124024724
Name:BALF, GABRIELA (MD, MPH)
Entity type:Individual
Prefix:
First Name:GABRIELA
Middle Name:
Last Name:BALF
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:GABRIELA
Other - Middle Name:
Other - Last Name:BALF-SORAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:PO BOX 860912
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55486-0912
Mailing Address - Country:US
Mailing Address - Phone:507-284-2511
Mailing Address - Fax:
Practice Address - Street 1:700 WEST AVE S
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-4783
Practice Address - Country:US
Practice Address - Phone:608-785-0940
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND130012084P0800X
WI1029442084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT110220039OtherRAILROAD MEDICARE
CT001390830Medicaid
CT2V0554OtherHEALTHNET
CT767518OtherCONNECTICARE
CTP2398034OtherOXFORD
CT010039083CT01OtherANTHEM BLUE SHIELD
CT2592109OtherAETNA
CT010039083CT01OtherANTHEM BLUE SHIELD
CTH32613Medicare UPIN