# BALANCE IN LIFE PLC

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

## Provider details

- **NPI number:** 1902923246
- **Authorized official:** DR. THADDEUS PETER SRUTWA M.D. (M.D. OWNER)
- **Authorized official phone:** (616) 847-5154

## Contact information

- **Practice address:** 17206 VAN WAGONER RD, SPRING LAKE, MI 49456-9702
- **Practice address phone:** (616) 847-5154
- **Practice address fax:** (616) 842-1949
- **Mailing address:** 17206 VAN WAGONER RD, SPRING LAKE, MI 49456-9702
- **Mailing address phone:** (616) 847-5154
- **Mailing address fax:** (616) 842-1949

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 4301045363 | MI | Yes |

## Other

- **Enumeration date:** 03/23/2007
- **Last updated:** 01/21/2008