Individual
GREGORY SCOTT BALLOID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
35 MICHIGAN ST NE STE 3003, GRAND RAPIDS, MI 49503-2528
(616) 267-2570
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704289789NSA180SS
MI
363LF0000X
Family Nurse Practitioner
Primary
4704289789
MI
Other
Enumeration date
11/05/2018
Last updated
02/20/2025
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