Organization
EDWARD D. BALL D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMARA J MCKAY (OFFICE MANAGER)
(517) 627-2303
Entity
Organization
Contact information
Practice address
313 S. CLINTON, GRAND LEDGE, MI 48837
(517) 627-2303
(517) 622-2295
Mailing address
PO BOX 313, GRAND LEDGE, MI 48837
(517) 627-2303
(517) 622-2295
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
EB006567
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1358979
—
MI
Enumeration date
08/08/2008
Last updated
08/18/2008
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