MOHAMMAD MAHMOUD BALLOUT MD
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1235802182- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 50 N PERRY ST, PONTIAC, MI, 483422217
- Phone
- (248) 338-5332
- Fax
- (313) 998-2171
Specialties & Taxonomies
Family Medicine
Primary License: MI #4301514355
General Practice
License: MI #4301514355
All Addresses
MAILING
50 N PERRY ST
PONTIAC, MI, 483422217