Provider Demographics
NPI:1104857556
Name:BALGER, JAMES D (DO)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:D
Last Name:BALGER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:9249 W LAKE CITY RD
Mailing Address - Street 2:MIDMICHIGAN HEALTH SERVICES
Mailing Address - City:HOUGHTON LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:48629-9602
Mailing Address - Country:US
Mailing Address - Phone:989-422-5122
Mailing Address - Fax:989-422-4378
Practice Address - Street 1:135 LAKE ST
Practice Address - Street 2:MIDMICHIGAN MEDICAL OFFICES- ROSCOMMON
Practice Address - City:ROSCOMMON
Practice Address - State:MI
Practice Address - Zip Code:48653-7658
Practice Address - Country:US
Practice Address - Phone:989-275-8931
Practice Address - Fax:989-422-4378
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2014-09-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI007654208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIF04442Medicare UPIN
MI5231031OtherBLUE CARE NETWORK
MI2115222Medicaid
MI0852310314OtherBLUE CROSS BLUE SHIELD
MA01-0332OtherPHYSICIANS HEALTH PLAN
MI0N94020Medicare ID - Type Unspecified
MIF04442Medicare UPIN