Organization
INDIANA UNIVERSITY HEALTH BALL MEMORIAL PHYSICIANS, INC
Active
Other names
IU Health Ball Memorial Internal Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL E HALEY (PRESIDENT/CEO)
(765) 747-3251
Entity
Organization
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 747-4306
Mailing address
221 N CELIA AVE, ATTN: DEBERA BARKER, MUNCIE, IN 47303-4609
(765) 282-8905
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200420530A
—
IN
01
—
CA1092
RR MEDICARE
IN
Enumeration date
07/10/2006
Last updated
11/01/2011
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