Individual
MRS. VICTORIA BALCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
950 VICTORS WAY STE 100, ANN ARBOR, MI 48108-5217
(734) 926-4800
(734) 973-0595
Mailing address
23706 STONELEIGH DR, SOUTH LYON, MI 48178-1951
(616) 318-9786
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704283130
MI
Other
Enumeration date
03/30/2017
Last updated
04/06/2017
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