Individual
MRS. SHIELA M BALENSIEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 E MAIN STREET, DANVILLE, IN 46122
(317) 745-7503
(317) 745-0663
Mailing address
1600 E MAIN STREET, POST OFFICE BOX 369, DANVILLE, IN 46122
(317) 745-7503
(317) 745-0663
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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