Dr. Maria Balleza
Internist - Addiction Medicine
27115 Gratiot Ave
Roseville
, Michigan 48066-2900
Dr. Maria Balleza
Internist - Addiction Medicine
27115 Gratiot Ave
Roseville
, Michigan 48066-2900
(734) 261-7798
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About
Features
Specialties
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Maria Balleza
- 9631 Merriman Rd
- Livonia, MI
- Zip : 48150
- Phone : (734) 261-7798
Second Address
- Dr. Maria Balleza
- 27115 Gratiot Ave
- Roseville, MI
- Zip : 48066-2900
- Fax : (586) 776-2310
- Phone : (586) 776-7000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0401X | Internist - Addiction Medicine | 4301049546 | MI |
National Provider Identifier
| NPI | 1205978921 |
|---|---|
| Provider Name | Dr. Maria Balleza |
| First Address | Livonia, MI 48150 |
| Second Address | Roseville, MI 48066-2900 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/02/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.