Individual
DALE A BALKOVEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
15003 TURNEY RD, MAPLE HEIGHTS, OH 44137-4730
(216) 663-7753
(216) 663-0897
Mailing address
15003 TURNEY ROAD, MAPLE HEIGHTS, OH 44137
(216) 663-7753
(216) 663-0897
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34003692
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000136583
ANTHEM
OH
05
—
0588645
—
OH
01
—
080039459
RAILROAD MEDICARE
OH
01
—
341682240BA02
EMERALD
OH
01
—
9000017231
HMP
OH
01
—
T03692
SUMMA
OH
Enumeration date
10/03/2006
Last updated
01/18/2011
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