Individual
ANSHUM GOEL BHALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2540 16TH ST, PORT HURON, MI 48060-6405
(810) 987-1000
(810) 982-1810
Mailing address
2540 16TH ST, PORT HURON, MI 48060-6405
(810) 987-1000
(810) 982-1810
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301108398
MI
Other
Enumeration date
07/04/2014
Last updated
07/21/2022
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