Individual
BALAZS SZAMOSFALVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 EAST MEDICAL CENTER DR, 3RD FLOOR TAUBMAN CENTER RECP C, ANN ARBOR, MI 48109-5364
(734) 936-5548
Mailing address
3621 SOUTH STATE STREET, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301065625
MI
207RN0300X
Nephrology Physician
Primary
4301065625
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
457341410
—
MI
01
—
700H262220
BLUE CROSS-BLUE CROSS
—
01
—
BS065625
CHAMPUS-CHAMPUS
—
Enumeration date
12/01/2006
Last updated
03/15/2017
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