Individual
ROBERT BLAKESLEE BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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