Individual
BALSAM ELAJOUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
(616) 685-5000
Mailing address
261 NETHERFIELD ST NW, COMSTOCK PARK, MI 49321-9343
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302413556
MI
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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