Provider Demographics
NPI:1144509274
Name:BIALASKI, ERIC NICHOLAS (DO)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:NICHOLAS
Last Name:BIALASKI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6245 INKSTER RD
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48135-4001
Mailing Address - Country:US
Mailing Address - Phone:734-421-3300
Mailing Address - Fax:
Practice Address - Street 1:703 TYLER ST STE 350
Practice Address - Street 2:
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870-3391
Practice Address - Country:US
Practice Address - Phone:419-502-8001
Practice Address - Fax:419-502-8324
Is Sole Proprietor?:No
Enumeration Date:2011-08-07
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101019386207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery