Individual
MARSHALL BALK
Active
Individual
MARSHALL BALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
MD057009L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016915860006
—
PA
01
—
111985
GATEWAY HEALTH PLAN
PA
01
—
200038823
RAILROAD MEDICARE
PA
01
—
240818
HEALTHAMERICA/HEALTHASSURANCE
PA
01
—
248052
BLUE SHIELD - DME
PA
01
—
25180380900
WV WORKERS COMPENSATION
WV
01
—
374559
BLUE CROSS/BLUE SHIELD
PA
01
—
5388626
AETNA
PA
Enumeration date
04/06/2006
Last updated
12/02/2020
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