Individual
DR. MICHAEL GEORGE BALLENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
12010 W 63RD ST, SHAWNEE, KS 66216-1867
(913) 268-8150
(913) 268-8479
Mailing address
12010 W 63RD ST, SHAWNEE, KS 66216-1867
(913) 268-8150
(913) 268-8479
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-14321
KS
183500000X
Pharmacist
2008013819
MO
Other
Enumeration date
09/15/2008
Last updated
06/02/2009
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