ROBERT BLAKESLEE BALLARD MD
Individual Provider (NPI-1)
Active
Surgery
Provider Information
- NPI Number
1902898182- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 2000 E MILESTONE DR, APPLETON, WI, 549136701
- Phone
- (920) 731-8131
- Fax
- (920) 832-0444
Specialties & Taxonomies
Surgery
License: WI #41244 020
Surgery, Trauma Surgery
License: GA #42169
Unknown
Primary License: WI #41244-20