Provider Demographics
NPI:1972738599
Name:BALCI, GAMZE (MD)
Entity type:Individual
Prefix:
First Name:GAMZE
Middle Name:
Last Name:BALCI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:6565 FRANCE AVE S STE 350
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-2159
Mailing Address - Country:US
Mailing Address - Phone:952-999-4049
Mailing Address - Fax:
Practice Address - Street 1:6565 FRANCE AVE S STE 350
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-2159
Practice Address - Country:US
Practice Address - Phone:952-999-4049
Practice Address - Fax:800-398-1481
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-27
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN555482084P0800X, 2084P0800X
DC204552084P0800X
MN1064152084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN260003746Medicare PIN
FLHL020ZMedicare PIN