Individual
MICHELLE MARIE BALLECER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
20325 N 51ST AVE STE 170, GLENDALE, AZ 85308-4624
(623) 249-4928
(623) 249-4971
Mailing address
20325 N 51ST AVE, SUITE 170, GLENDALE, AZ 85308-5674
(623) 249-4928
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37320
AZ
Other
Enumeration date
06/27/2007
Last updated
05/07/2012
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