NATHAN SHANE BALUSIK

WATERVILLE, OH
NPI1407174576
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OH  35.120628)
Enumeration Date2010-05-13
Last Update Date2013-06-21
Business Address
-- NATHAN SHANE BALUSIK
900 WATERVILLE MONCLOVA RD SUITE A
WATERVILLE, OH 43566-1099
Phone number: 419-878-3010
Mailing Address
-- NATHAN SHANE BALUSIK
900 WATERVILLE MONCLOVA RD SUITE A
WATERVILLE, OH 43566-1099
Phone number: 419-878-3010
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