# DR. JORGE IGNACIO BALZAN PEREZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1174249866
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 35.152497 | OH | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 353121 | LA | Yes |
| 246ZC0007X | Surgical Assistant | 18-225 | WI | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | 57.253911 | OH | — |

## Other

- **Enumeration date:** 10/14/2022
- **Last updated:** 09/04/2026
