{"npi":"1366493439","type":"NPI-1","status":"active","name":{"display":"Dr. Mary Crissler Belanger MD","other":[],"first":"MARY","last":"CRISSLER BELANGER","middle":"JO","credential":"MD"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"MN","license":"45697"},{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"WI","license":"60515"}]},"addresses":[{"purpose":"LOCATION","street_1":"1836 SOUTH AVE","city":"LA CROSSE","state":"WI","postal_code":"546015429","country_code":"US","phone":"6087827300"},{"purpose":"MAILING","street_1":"1836 SOUTH AVE","city":"LA CROSSE","state":"WI","postal_code":"546015429","country_code":"US","phone":"6087827300"}],"license":{"state":"WI","number":"60515"},"identifiers":[{"type_code":"01","label":"Other","value":"0406200","state":"MN","issuer":"MEDICA"},{"type_code":"05","label":"Medicaid","value":"772660100","state":"MN","issuer":null},{"type_code":"01","label":"Other","value":"172K2CR","state":"MN","issuer":"BC BS"},{"type_code":"01","label":"Other","value":"585241040263","state":"MN","issuer":"PREFERRED ONE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20130710000404","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"WI","pac_id":"4688669328"}]},"enumeration_date":"2006-05-13","last_updated":"2015-06-02","_meta":{"source":"NPPES","snapshot_date":"2015-06-02","doc_url":"https://findmynpi.com/api"}}