Individual
DR. KATHERINE BALLENGER PASQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 E EISENHOWER PKWY, SUITE B, ANN ARBOR, MI 48108-3302
(734) 232-2600
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301083464
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301083464
MI
Other
Enumeration date
03/22/2007
Last updated
06/10/2011
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