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
ZIP Code
54241-3301
Phone
(920) 320-2436

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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