# BALANCE IN LIFE, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194967554
- **Authorized official:** THADDEUS P. SRUTWA M.D. (OWNER)
- **Authorized official phone:** (616) 229-3295

## Contact information

- **Practice address:** 16986 ROBBINS RD STE 180, GRAND HAVEN, MI 49417-2795
- **Practice address phone:** (616) 229-3295
- **Practice address fax:** (616) 229-3295
- **Mailing address:** 16986 ROBBINS RD STE 180, GRAND HAVEN, MI 49417-2795
- **Mailing address phone:** (616) 229-3295
- **Mailing address fax:** (616) 229-3295

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 4301045363 | MI | Yes |
| 208VP0000X | Pain Medicine Physician | 4301045363 | MI | — |

## Other

- **Enumeration date:** 04/01/2009
- **Last updated:** 07/08/2019