Dr. Daniel G Balcueva, O.D.
Optometrist in Troy, MI. Individual provider (NPI-1).
NPI number1659636017
StatusActive
Last updated in NPPESSep 15, 2015
Details
- NPI
- 1659636017
- Entity type
- Individual (NPI-1)
- Name
- Dr. Daniel G Balcueva
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2012
- Last updated
- Sep 15, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 4901004830 | MI | Yes |
| 152W00000X | Optometrist | 18003721 | IN |
Practice location
735 John R RdTroy, MI 48083-5856
Phone 248-544-3290 · Fax 248-528-4040
Mailing address
655 W 13 Mile RdMadison Heights, MI 48071-1850
Phone 248-588-9300 · Fax 248-588-9917
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