Individual
STEVEN BALALOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4030 EASTON STATION, SUITE 200, COLUMBUS, OH 43219-7012
(614) 759-6626
(614) 759-8403
Mailing address
4030 EASTON STATION, SUITE 200, COLUMBUS, OH 43219-7012
(614) 759-6626
(614) 759-8403
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35067128
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2015223
—
OH
01
—
BA0822314
MEDICARE PTAN
OH
Enumeration date
06/09/2006
Last updated
01/16/2014
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