Individual provider · NPI-1

Jeffrey A Balke, MD

Hospitalist · Portland, ME

NPI number1285694109
StatusActive
Last updated in NPPESJan 11, 2021

Details

NPI
1285694109
Entity type
Individual (NPI-1)
Name
Jeffrey A Balke
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Mar 24, 2006
Certification date
Jan 11, 2021
Last updated
Jan 11, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X HospitalistMD20960MEYes
207R00000X Internal Medicine33730MN

Practice location

22 Bramhall St
Portland, ME 04102-3134

Phone 207-662-4618

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Phone 612-262-5000

Other practice locations

1601 Saint Francis Ave
Suite 100
Shakopee, MN 55379-3383

Phone 952-428-3535 · Fax 952-428-3599

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