Virginia Ballinger

NPI #1972995108 in Wayne, Michigan

Provider Information

NPI Number: 1972995108
Entity Type: Individual
Name: Virginia Ballinger
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Feb 25, 2015
Last Updated: Feb 25, 2015

Practice Location

Address: 35640 W MICHIGAN AVE
City: Wayne
State: Michigan
ZIP Code: 48184-1628
Phone: (248) 747-3580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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