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1205978921
MARIA BALLEZA
ROSEVILLE, MI
NPI
1205978921
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RA0401X Internal Medicine, Addiction Medicine
(Licence: MI 4301049546)
Enumeration Date
2007-02-12
Last Update Date
2007-07-08
Business Address
Dr. MARIA BALLEZA M.D.
27115 GRATIOT AVE
ROSEVILLE, MI 48066-2900
Phone number: 586-776-7000
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Mailing Address
Dr. MARIA BALLEZA M.D.
9631 MERRIMAN RD
LIVONIA, MI 48150
Phone number: 734-261-7798
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