Individual
KATHERINE BALOGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23200 PONTIAC TRL, SOUTH LYON, MI 48178-1983
(248) 446-2935
Mailing address
23200 PONTIAC TRL, SOUTH LYON, MI 48178-1983
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1497404123
MI
Other
Enumeration date
03/21/2022
Last updated
07/08/2025
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