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Individual

DR. HAROLD A BALLITCH II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1991 PARK AVE W, ONTARIO, OH 44906-2233
(419) 521-3937
(419) 522-5189
Mailing address
1991 PARK AVE W, ONTARIO, OH 44906-2233
(419) 564-2855
(419) 522-5189

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35063411
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0878420
OH
Enumeration date
10/25/2005
Last updated
02/02/2024
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