Dorian Imani Ballard
NPI #1023893864 in Southfield, Michigan
Provider Information
- NPI Number
- 1023893864
- Entity Type
- Individual
- Name
- Dorian Imani Ballard
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Public Health or Welfare
- Enumeration Date
- Aug 29, 2023
- Last Updated
- Aug 26, 2024
Practice Location
- Address
- 26150 SUMMERDALE DR
- City
- Southfield
- State
- Michigan
- ZIP Code
- 48033-6135
- Phone
- (248) 495-6789
Specialties & Taxonomy Codes
| Specialty |
|---|
| Public Health or Welfare |
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