Search › Wisconsin › 207R00000X
Samuel Ballard, DO
NPI 1578191763 · on the registry since 2020
Practice
- Address
- 800 Lakefront Way
Two Rivers, WI 54241 - Phone
- (920) 320-2436
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-09-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin