| Doctor Name: | MR. GERARD BALAN |
| NPI Number: | 1518108455 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | APRN, CNP |
| License Number: | CNP 1148 |
| Business Practice Address: | 3800 Park Nicollet Blvd Saint Louis Park, MN - 554162527 |
| Business Phone Number: | 9529933123 |
| Business Fax Number: | 9529933286 |
| Mailing Address: | 8170 33rd Ave S, Po Box 1309 Mail Stop 21110q MINNEAPOLIS |
| State: | MN |
| Postal Code: | 554254516 |
| Phone Number: | 9529933123 |
| Fax Number: | |
| NPI Enumeration Date: | 03/23/2009 |
| NPI Last Update Date: | 02/24/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | CNP 1148 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |