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Contact Information

PAOLO N BALMASEDA
26750 PROVIDENCE PKWY STE 210
NOVI, MI48374-1212
 Phone: 248-465-4782
 Fax: 248-465-4852
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for PAOLO N BALMASEDA · (Male)

NPI # 1326427105
Status Active
Credentials
Entity Individual
Enumeration date 05/26/2015
Last updated 07/29/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301500673
Hospital affiliation(s)
  • PROVIDENCE HOSPITAL AND MEDICAL CENTERS - (Acute Care)
    16001 W NINE MILE RD
    SOUTHFIELD, MI 48075
  • ST JOHN HOSPITAL AND MEDICAL CENTER - (Acute Care)
    22101 MOROSS RD
    DETROIT, MI 48236
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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