Individual
DR. THOMAS NICHOLAS BALASKAS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 E PARIS AVE SE, SUITE 210, GRAND RAPIDS, MI 49546-3680
(616) 285-3310
(616) 285-3266
Mailing address
1000 E PARIS AVE SE, SUITE 210, GRAND RAPIDS, MI 49546-3680
(616) 285-3310
(616) 285-3266
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301062864
MI
Other
Enumeration date
09/13/2005
Last updated
07/08/2007
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