Organization
TELEMENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERARD BALAN JR. APRN, CNP (CEO/OWNER)
(612) 810-6414
Entity
Organization
Contact information
Practice address
3507 LYNDALE AVE S, MINNEAPOLIS, MN 55408-4159
(612) 810-6414
(802) 210-4139
Mailing address
3507 LYNDALE AVE S, MINNEAPOLIS, MN 55408-4159
(612) 810-6414
(802) 210-4139
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/14/2023
Last updated
12/20/2023
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