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Individual

MICHELLE M BALLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, MS

Contact information

Practice address
1500 S LAKE PARK AVE, HOBART, IN 46342-6638
(219) 947-6063
(219) 947-6049
Mailing address
1500 S LAKE PARK AVE, HOBART, IN 46342-6638
(219) 947-6063
(219) 947-6049

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37001767A
IN

Other

Enumeration date
12/30/2008
Last updated
12/30/2008
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