Individual
DR. EDWARD MICHAEL BALOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4050 RIVER RD, EAST CHINA, MI 48054-2908
(810) 329-9045
(810) 329-8732
Mailing address
4050 RIVER RD, EAST CHINA, MI 48054-2908
(810) 329-9045
(810) 329-8732
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
EB055964
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0741045
BCBS IINDIVIDUAL
MI
05
—
103283901
—
MI
01
—
180G410170
BCBS GROUP
MI
Enumeration date
08/03/2006
Last updated
08/09/2010
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