Individual
MICHELLE BALOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1426 BROAD RIPPLE AVE, STE 200, INDIANAPOLIS, IN 46220-2002
(317) 621-3680
(317) 621-3689
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11018510A
IN
Other
Enumeration date
07/02/2015
Last updated
05/21/2024
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