Organization · NPI-2

Jeffrey E Balazsy MD PC

Orthopaedic Surgery · Mount Clemens, MI

NPI number1124263470
StatusActive
Last updated in NPPESOct 13, 2014

Details

NPI
1124263470
Entity type
Organization (NPI-2)
Legal business name
Jeffrey E Balazsy MD PC
Organization subpart
No
Enumeration date
Dec 15, 2008
Last updated
Oct 13, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic Surgery4301065597MIYes

Practice location

1030 Harrington Blvd
Suite 303
Mount Clemens, MI 48043-2992

Phone 586-493-3890 · Fax 586-493-3898

Mailing address

Po Box 1086
Willoughby, OH 44096-1086

Phone 216-645-7242

Authorized official

Jeffrey E Balazsy
Owner
5864933890

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