Individual
DR. BRIAN DANIEL BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043-2920
(586) 493-8000
Mailing address
3660 WINDY KNOLL DR, ROCHESTER, MI 48306-1949
(248) 310-8423
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1952892796
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/29/2018
Last updated
01/24/2021
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