Susan Virginia Balmer MD

NPI 1164640058 - Pediatrics - 208000000X

NPI Details
NPI 1164640058
Gender Female
Enumeration Date 04/23/2007
Last Updated 02/09/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
1414 W FAIR AVE
SUITE 201
MARQUETTE MI, 49855-2675, US
Phone (906) 225-4500
Fax (906) 225-3919
Business Location
1414 W FAIR AVE
SUITE 201
MARQUETTE MI, 49855-2675, US
Phone (906) 225-4500
Fax (906) 225-3919
Toxanomy
Taxonomy Code 208000000X
License State Michigan
License Number 4301088305
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According to our database, Dr. Susan Virginia Balmer MD NPI is 1164640058, taxonomy code is 208000000X and license number is 4301088305, license state is located at Michigan. Susan Virginia Balmer MD physically located at 1414 W Fair Ave, Marquette MI, 49855-2675. NPI Number Susan Virginia Balmer MD has the Individual type.

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1164640058 NPI number is provided on an as is basis without warranty of any kind. 1164640058 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Virginia Balmer MD are for informational purposes only.