Doctor Name: | JAMES D BALGER |
NPI Number: | 1104857556 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 007654 |
Business Practice Address: | 135 Lake St Midmichigan Medical Offices- Roscommon Roscommon, MI - 486537658 |
Business Phone Number: | 9892758931 |
Business Fax Number: | 9894224378 |
Mailing Address: | 9249 W Lake City Rd, Midmichigan Health Services HOUGHTON LAKE |
State: | MI |
Postal Code: | 486299602 |
Phone Number: | 9894225122 |
Fax Number: | 9894224378 |
NPI Enumeration Date: | 07/05/2006 |
NPI Last Update Date: | 09/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 007654 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |