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Individual

MICHAEL BALK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
38 COMMERCE AVE SW STE 102, GRAND RAPIDS, MI 49503-4252
(616) 350-9123
(877) 599-8202
Mailing address
38 COMMERCE AVE SW STE 102, GRAND RAPIDS, MI 49503-4252
(616) 350-9123
(877) 599-8202

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704286703
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26-2838743
OTHER
MI
Enumeration date
07/08/2020
Last updated
03/17/2023
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