Organization
MAPLE FAMILY PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE S BALKOVEC DO (PRESIDENT)
(216) 663-7753
Entity
Organization
Contact information
Practice address
15003 TURNEY RD, MAPLE HEIGHTS, OH 44137-4730
(216) 663-7753
(216) 663-0897
Mailing address
15003 TURNEY RD, MAPLE HEIGHTS, OH 44137-4730
(216) 663-7753
(216) 663-0897
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000167289
ANTHEM
OH
05
—
0861796
—
OH
01
—
CL9518
RAILROAD MEDICARE
OH
Enumeration date
09/02/2006
Last updated
04/20/2008
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