Individual
DENISE HILLARD BALON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
210 N LAFAYETTE ST, SOUTH LYON, MI 48178-2048
(248) 437-1744
(248) 437-3245
Mailing address
15990 WEST NINE MILE ROAD, SOUTHFIELD, MI 48075-2527
(248) 849-4226
(248) 849-4240
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301043800
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410852110
—
MI
Enumeration date
06/02/2005
Last updated
02/25/2011
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