Individual
BRANDON M BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
50505 SCHOENHERR RD STE 320, SHELBY TWP, MI 48315-3141
(586) 580-3062
(586) 580-3143
Mailing address
50505 SCHOENHERR RD STE 320, SHELBY TWP, MI 48315-3141
(586) 580-3062
(586) 580-3143
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601013175
MI
Other
Enumeration date
05/08/2023
Last updated
07/31/2025
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