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Gwen Elizabeth Balog
Student in an Organized Health Care Education/Training Program in Hillman, Michigan
NPI 1578045225

Gwen Elizabeth Balog is a Student in an Organized Health Care Education/Training Program based in Hillman, MI. Gwen Elizabeth Balog practices in Hillman, MI. The NPI Number for Gwen Elizabeth Balog is 1578045225 and holds a License No. (Michigan).

The current practice location address for Gwen Elizabeth Balog is 21710 Behring Rd, Hillman, MI and can be reached out via phone at 989-306-7253.

Location: 21710 Behring Rd, Hillman, MI, 49746-9103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578045225
Provider Name
Gwen Elizabeth Balog
Credential
Provider Entity Type
Individual
Gender
Female
Address
21710 Behring Rd, Hillman, MI, 49746-9103
Phone Number
989-306-7253
Fax Number
Provider Enumeration Date
08/29/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0651445599-8 01 MI HEALTHCARE PROVIDERS SERVICE ORGANIZATION
institution
Provider Business Practice Location Address Details
Address
21710 Behring Rd
City
Hillman
State
Michigan
Zip
49746-9103
Phone Number
989-306-7253
Fax Number
person
Provider Business Mailing Address Details
Address
21710 Behring Rd
City
Hillman
State
Michigan
Zip
49746-9103
Phone Number
989-306-7253
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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