Samuel Quinn Ballard, DO
NPI #1578191763 in Two Rivers, Wisconsin
Provider Information
- NPI Number
- 1578191763
- Entity Type
- Individual
- Name
- Samuel Quinn Ballard, DO
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine
- Credential
- DO
- Enumeration Date
- Apr 1, 2020
- Last Updated
- Sep 13, 2023
Practice Location
- Address
- 800 LAKEFRONT WAY
- City
- Two Rivers
- State
- Wisconsin
- ZIP Code
- 54241-3301
- Phone
- (920) 320-2436
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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