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Individual

EDWARD B BALSINK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
730 W MARKET ST, LIMA, OH 45801-4602
(419) 227-3361
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
35054372B
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000317839
BCBS
01
000000317848
BCBS
OH
05
0648759
OH
05
0823694
OH
01
P00118411
RR MEDICARE
OH
Enumeration date
05/25/2006
Last updated
05/16/2008
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