Individual
ALEXIS ROBIN BALOMENOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
58115 MAIN ST, NEW HAVEN, MI 48048-2686
(586) 749-4444
(586) 749-9114
Mailing address
58115 MAIN ST, NEW HAVEN, MI 48048-2686
(586) 749-4444
(586) 749-9114
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301066394
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4129423
—
MI
Enumeration date
08/01/2006
Last updated
08/29/2011
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