Individual
JEAN ANN BALLWEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
25 MICHIGAN ST NE STE 4200, GRAND RAPIDS, MI 49503-2559
(616) 267-9150
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
4301506839
MI
Other
Enumeration date
07/14/2006
Last updated
08/10/2022
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