Individual
REGAN BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
703 N 2ND AVE, IRON RIVER, MI 49935-1451
(906) 265-5126
Mailing address
715 PYLE DR, KINGSFORD, MI 49802-4456
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6803087076
—
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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