Individual
DR. MICHAEL GARRETT BALGEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2515 N PROSPECT AVE, SUITE 100, CHAMPAIGN, IL 61822-1226
(217) 378-2934
(217) 378-2936
Mailing address
2515 N PROSPECT AVE, SUITE 100, CHAMPAIGN, IL 61822-1226
(217) 378-2934
(217) 378-2936
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009189
IL
Other
Enumeration date
11/09/2006
Last updated
05/24/2010
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