Nathan Shane Balusik

NPI #1407174576 in Waterville, Ohio

Provider Information

NPI Number: 1407174576
Entity Type: Individual
Name: Nathan Shane Balusik
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Enumeration Date: May 13, 2010
Last Updated: Jun 21, 2013

Practice Location

Address: 900 WATERVILLE MONCLOVA RD
Address 2: SUITE A
City: Waterville
State: Ohio
ZIP Code: 43566-1099
Phone: (419) 878-3010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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