Individual
DR. JAIME T BALLESTEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
G3239 BEECHER RD, STE C, FLINT, MI 48532-3616
(810) 732-9222
(810) 732-4344
Mailing address
G3239 BEECHER RD, STE C, FLINT, MI 48532-3616
(810) 732-9222
(810) 732-4344
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301046964
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4211863
—
MI
Enumeration date
06/16/2005
Last updated
06/03/2014
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