JENNIFER P BALASKO

BLOOMINGTON, IN
NPI1821625070
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01088877A)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: IN  11021080A)
Enumeration Date2020-03-26
Last Update Date2023-10-18
Business Address
JENNIFER P BALASKO MD
550 S LANDMARK AVE
BLOOMINGTON, IN 47403-3239
Phone number: 812-330-3689
Mailing Address
JENNIFER P BALASKO MD
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number: