Dr. Natali M. Balog MD
Rheumatology Physician in Granger, IN(View on Map)
Full Name
Dr. Natali M Balog MD
NPI Number
1578552386
NPI Type
Individual Provider
Gender
Female
Enumeration Date
10/14/2005
Specialties
(Taxonomies)Licenses
State
Indiana
License Number
01060398A
Contact
Information
Purpose
Mailing
Location
Address
710 N NILES AVE
6901 N MAIN ST STE 102
City
South Bend
Granger
State
IN
IN
Postal Code
46617-1924
46530-8022
Country
US
US
Telephone Number
(574) 647-1610
(574) 647-4500
Identifiers
Identifier
200528210
236040320
Identifier State
IN
IN
Identifier Issuer
Unknown
MEDICARE PTAN
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
nbalog@mybeacon.cernerdirect.com
Endpoint Description
Unknown
Use
Unknown
Content Type
Unknown
Affiliation
N
Endpoint Location
6901 N Main St Ste 102Granger, IN465308022US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/30/2021
Provider Address
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