Individual
MR. MICHAEL ROBERT BALAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
802 N RIVERSIDE RD STE 150, SAINT JOSEPH, MO 64507-2508
(816) 271-4025
Mailing address
3411 E COLONY SQ, SAINT JOSEPH, MO 64506-1506
(816) 390-7509
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2020005223
MO
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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