Active NPIIndividual providerSole proprietor

Marshall Balderston, DO

Internal Medicine in Detroit, Michigan

NPI Number1205570850
Practice location
6071 W Outer Dr, Detroit, MI 48235-2624
Fax
—
Last updated
August 24, 2026

Marshall Balderston, DO is a Internal Medicine based in Detroit, MI. Marshall Balderston, DO holds the professional credentials of DO. The NPI number for Marshall Balderston, DO is 1205570850 and holds license No. 5101029284 (MI). The current practice location address is 6071 W Outer Dr, Detroit, MI 48235-2624 and the office can be reached by phone at 313-966-3250. The NPI was assigned on April 20, 2022 and the record was last updated in NPPES on August 24, 2026.

●Provider Profile Details

NPI Number
1205570850
Provider Name
Marshall Balderston
Credential
DO
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Enumeration Date
April 20, 2022
Last Update Date
August 24, 2026
Certification Date
August 24, 2026
NPI Status
Active

◉Business Practice Location Address

Address
6071 W Outer Dr
Detroit, MI 48235-2624
ZIP
48235-2624
Country
US
Phone Number
313-966-3250

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✉Business Mailing Address

Address
33437 Hampton RD
Eugene, OR 97405-9539
City
Eugene
State
OR
ZIP
97405-9539
Phone Number
541-556-5129

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Internal Medicine207R00000XYes5101029284MI
Student in an Organized Health Care Education/Training Program390200000XNo——

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Marshall Balderston, DO?

The NPI number of Marshall Balderston, DO is 1205570850. It was assigned on April 20, 2022 and is currently active in the NPPES registry.

What is the specialty of Marshall Balderston, DO?

Marshall Balderston, DO is registered under the primary taxonomy Internal Medicine (code 207R00000X) and holds license No. 5101029284 (MI).

Where does Marshall Balderston, DO practice?

The practice location is 6071 W Outer Dr, Detroit, MI 48235-2624. The office can be reached at 313-966-3250 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205570850 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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