Individual
DR. MARY C BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
770 KENMOOR AVE SE STE 100, GRAND RAPIDS, MI 49546-8602
(616) 272-3533
(616) 259-4839
Mailing address
801 ROSEHILL RD, JACKSON, MI 49202-1762
(517) 212-2008
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
4301049261
MI
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
66125
WI
Other
Enumeration date
08/16/2005
Last updated
10/27/2023
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