Individual
DR. LOUIS BALKANY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6110 DOUBLE EAGLE CT, WATERVILLE, OH 43566-8718
(419) 344-2317
(419) 382-9427
Mailing address
6110 DOUBLE EAGLE CT, WATERVILLE, OH 43566-8718
(141) 467-1012
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
029614
MI
2086S0129X
Vascular Surgery Physician
Primary
033959
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0201721
—
OH
05
—
4308792
—
MI
Enumeration date
12/29/2005
Last updated
03/20/2023
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