Individual
DR. TIMOTHY WAYNE BALKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3209 W 76TH STREET, SUITE 204, EDINA, MN 55435
(952) 285-5533
(952) 925-5614
Mailing address
3209 W 76TH STREET, SUITE 204, EDINA, MN 55435
(952) 285-5533
(952) 925-5614
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3763
MN
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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