Individual
MRS. ANGELA N BALANON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
33200 W 14 MILE RD STE 220, WEST BLOOMFIELD, MI 48322-3586
(248) 855-7400
(248) 626-6481
Mailing address
26211 CENTRAL PARK BLVD STE 201, SOUTHFIELD, MI 48076-4158
(833) 667-3627
(248) 327-6144
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601994644
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601004744
LICENSE
MI
Enumeration date
07/24/2006
Last updated
04/14/2026
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