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Individual

ERNIE PORTEZA BALCUEVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4599 TOWNE CENTRE RD FL 2, SAGINAW, MI 48604
(989) 497-3226
(989) 497-3146
Mailing address
PO BOX 779, TAWAS CITY, MI 48764-0779
(989) 362-9411
(989) 362-9925

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
EB034288
MI
207RH0003X
Hematology & Oncology Physician
Primary
4301034288
MI

Other

Enumeration date
06/16/2006
Last updated
04/06/2021
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