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Individual
TERRY BALL
Active
Individual
TERRY BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101012938
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-01951
PHP COMMERCIAL
MI
01
—
0153700165
BCBS
MI
01
—
1006927
MCLAREN HEALTH PLAN
MI
01
—
200000005465
HEALTHPLUS
MI
05
—
4321248-11
—
MI
Enumeration date
05/11/2006
Last updated
11/04/2013
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