James D Balger, D.O.

Individual provider Active NPI General Practice Physician · Roscommon, MI

NPI 1104857556 · NPPES record last updated Sep 5, 2014

Key facts

NPI
1104857556
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Physician 208D00000X
License
007654 (MI)
Practice address
135 Lake St
Midmichigan Medical Offices- Roscommon
Roscommon, MI 48653-7658
Phone
(989) 275-8931
Fax
(989) 422-4378
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
007654MIMDGeneral Practice Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 007654 MI Yes

Addresses

Primary practice location

135 Lake St
Midmichigan Medical Offices- Roscommon
Roscommon, MI 48653-7658

Mailing address

9249 W Lake City Rd
Midmichigan Health Services
Houghton Lake, MI 48629-9602
Phone (989) 422-5122

Other providers in Roscommon, MI

All providers in Roscommon, MI · General Practice Physician in Michigan

Sources for this page

Verify at the official NPI Registry.