Individual
MARY ELLEN BALCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 E H STREET, IRON MOUNTAIN, MI 49801-4760
(906) 774-3300
Mailing address
325 E H STREET, IRON MOUNTAIN, MI 49801-4760
(906) 774-3300
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
4704159602
MI
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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