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Organization

BALANCE IN LIFE, P.C.

Active
Find providers by NPI
Organization

BALANCE IN LIFE, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THADDEUS P. SRUTWA M.D. (OWNER)
(616) 229-3295
Entity
Organization

Contact information

Practice address
16986 ROBBINS RD STE 180, GRAND HAVEN, MI 49417-2795
(616) 229-3295
(616) 229-3295
Mailing address
16986 ROBBINS RD STE 180, GRAND HAVEN, MI 49417-2795
(616) 229-3295
(616) 229-3295

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301045363
MI
208VP0000X
Pain Medicine Physician
4301045363
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080G014920
BCBS
MI
Enumeration date
04/01/2009
Last updated
07/08/2019
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