Individual provider · Type 1 NPI

Robert Blakeslee Ballard, MD

Vascular Surgery Physician · Appleton, WI

NPI number 1902898182 Active

Practice location

2000 E Milestone Dr
Appleton, WI 54913-6701

Fax (920) 832-0444

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X41244 020 (WI)
Trauma Surgery Physician 2086S0127X42169 (GA)
Vascular Surgery Physician Primary 2086S0129X41244-20 (WI)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1902898182

Robert Blakeslee Ballard, MD's National Provider Identifier is 1902898182, issued on Aug 16, 2005. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Appleton, WI. The record was last updated on Jul 22, 2025.