Individual
VIRGINIA BALLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35640 W MICHIGAN AVE, WAYNE, MI 48184-1628
(248) 747-3580
Mailing address
35640 W MICHIGAN AVE, WAYNE, MI 48184-1628
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
MI
Other
Enumeration date
02/25/2015
Last updated
02/25/2015
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