Individual
DR. MICHAEL W BALBUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2651 E DISCOVERY PKWY, BLOOMINGTON, IN 47408-9059
(812) 353-9852
(812) 353-9278
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036-091626
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
0101259640
VA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
01060372A
IN
2080N0001X
Neonatal-Perinatal Medicine Physician
168666-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021622158
GROUP BLUE SHIELD NUMBER
IL
05
—
036091626
—
IL
Enumeration date
05/02/2006
Last updated
08/26/2022
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