Organization
FAMILY MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES D BALGER D.O. (PHYSICIAN)
(517) 543-7720
Entity
Organization
Contact information
Practice address
111 LANSING ST, SUITE 110, CHARLOTTE, MI 48813-2400
(517) 543-7720
(517) 543-1125
Mailing address
111 LANSING ST, SUITE 110, CHARLOTTE, MI 48813-2400
(517) 543-7720
(517) 543-1125
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
007654
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007654
STATE LICENSE NUMBER
MI
01
—
01-00332
PHYSICIANS HEALTH PLAN
MI
01
—
0852310314
BLUE CROSS BLUE SHIELD
MI
05
—
2115222
—
MI
01
—
52310314
BLUE CARE NETWORK ID
MI
Enumeration date
06/19/2006
Last updated
04/28/2014
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