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Individual

MARK FREDERICK BALINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3031 W GRAND BLVD, SUITE 450, DETROIT, MI 48202
(313) 871-3751
Mailing address
23151 ARLINGTON ST, DEARBORN, MI 48128-1878
(540) 808-6023

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5101021420
MI

Other

Enumeration date
04/25/2014
Last updated
08/23/2018
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