Individual
SHIWANI BALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7111 WINDSTREAM CIR, MIDLAND, MI 48642-8915
(989) 615-4578
Mailing address
7111 WINDSTREAM CIR, MIDLAND, MI 48642-8915
(989) 615-4578
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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