Individual
MARSHALL BALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6001 STONEWOOD DR, WEXFORD, PA 15090-7380
(724) 933-3850
(724) 933-3860
Mailing address
6001 STONEWOOD DR, WEXFORD, PA 15090-7380
(724) 933-3850
(724) 933-3860
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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