R S BALBOA MDPC

PORT HURON, MI
NPI1801024807
Entity TypeOrganization
Authorized ContactRONALDO S BALBOA
Owner
810-966-9556
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MI  RB028997)
Enumeration Date2009-06-29
Last Update Date2009-12-15
Business Address
R S BALBOA MDPC
1201 STONE ST STE 5
PORT HURON, MI 48060-3563
Phone number: 810-966-9556
Mailing Address
R S BALBOA MDPC
1201 STONE ST STE 5
PORT HURON, MI 48060-3563
Phone number: 810-966-9556
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