Individual
MICHAEL T BALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11531 STATE ROUTE 66, MINSTER, OH 45865-9303
(937) 295-2949
(419) 628-0342
Mailing address
915 WEST MICHIGAN ST, SIDNEY, OH 45365-2401
(937) 295-2949
(419) 628-0342
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-06-7026-B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101106
—
OH
Enumeration date
05/10/2006
Last updated
12/08/2020
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