Individual
DR. MARIA BALLEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
27115 GRATIOT AVE, ROSEVILLE, MI 48066-2900
(586) 776-7000
(586) 776-2310
Mailing address
9631 MERRIMAN RD, LIVONIA, MI 48150
(734) 261-7798
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
4301049546
MI
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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