Individual provider · Type 1 NPI
Thomas Nicholas Balaskas, MD
Specialist · Grand Rapids, MI
NPI number
1477548840
Active
Practice location
1000 E Paris Ave SE, Suite 210
Grand Rapids, MI 49546-3680
Fax (616) 285-3266
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 4301062864 (MI) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1477548840
Thomas Nicholas Balaskas, MD's National Provider Identifier is 1477548840, issued on Sep 13, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 13, 2026.