Individual
ROBERT BLAKESLEE BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 E MILESTONE DR, APPLETON, WI 54913-6701
(920) 731-8131
(920) 832-0444
Mailing address
2000 E MILESTONE DR, APPLETON, WI 54913-6701
(920) 731-8289
(920) 832-0444
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
41244 020
WI
2086S0127X
Trauma Surgery Physician
42169
GA
2086S0129X
Vascular Surgery Physician
Primary
41244-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30094300
—
WI
Enumeration date
08/16/2005
Last updated
07/22/2025
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