Individual
DR. TALHA JOHN BALOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7525 MITCHELL RD STE 315, EDEN PRAIRIE, MN 55344-1958
(708) 325-8252
(708) 294-8382
Mailing address
8337 BALSAM LN N, MAPLE GROVE, MN 55369-7628
(708) 325-8252
(708) 325-8252
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036144624
IL
2084P0802X
Addiction Psychiatry Physician
036144624
IL
2084P0802X
Addiction Psychiatry Physician
Primary
72846
MN
Other
Enumeration date
06/04/2015
Last updated
11/29/2024
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