Individual provider · Type 1 NPI
Tyler David Ballard, PA-C
Medical Physician Assistant · Grand Blanc, MI
NPI number
1679058630
Active
Practice location
2070 E Hill Rd
Grand Blanc, MI 48439-5108
Fax (810) 695-0616
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 5601008839 (MI) |
Medical Physician Assistant: Definition to come...
3 other providers at this address
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- Carrie Suzanne Bryant, PA-CMedical Physician Assistant Grand Blanc, MI NPI 1528379302
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- Lynn M. Garner, PAMedical Physician Assistant Grand Blanc, MI NPI 1750685442
About NPI 1679058630
Tyler David Ballard, PA-C's National Provider Identifier is 1679058630, issued on Sep 26, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Grand Blanc, MI. The record was last updated on Aug 14, 2020.