Individual
DR. RANDY DEWAIN BALMFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
GARDEN CITY HOSPITAL, 6245 INKSTER ROAD, GARDEN CITY, MI 48135-4001
(734) 421-3300
Mailing address
6245 INKSTER RD, GARDEN CITY, MI 48135-4001
(734) 421-3300
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036132515
IL
2085R0202X
Diagnostic Radiology Physician
2017018162
MO
2085R0202X
Diagnostic Radiology Physician
Primary
5101017227
MI
Other
Enumeration date
07/23/2007
Last updated
03/02/2026
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