Individual
DR. JOHN R BALFANZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
233 GRAND AVE, ST PAUL, MN 55102
(651) 227-7806
(651) 256-6707
Mailing address
ESSENTIA HEALTH DULUTH CLINIC - MCL2CRED, 400 EAST THIRD STREET, DULUTH, MN 55805-1951
(218) 786-8319
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20262
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048087800
—
MN
Enumeration date
01/18/2006
Last updated
10/11/2016
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