Individual
DR. DORU BALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
36555 26 MILE RD STE 1100, LENOX, MI 48048-3186
(947) 523-4040
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301080205
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104760669
—
MI
05
—
104771303
—
MI
05
—
104771312
—
MI
01
—
DB080205
BC/BS OF MICHIGAN
MI
Enumeration date
05/31/2006
Last updated
10/17/2024
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