| Mary Ball, RDN | |
|
5493 Clinton River Dr, Waterford, MI 48327-2521 | |
| (586) 925-6888 | |
| Not Available |
| Full Name | Mary Ball |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 5493 Clinton River Dr, Waterford, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841722790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86046829 (Michigan) | Primary |
| Provider Name | Ram Surendran MD PC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1861419681 PECOS PAC ID: 6507863479 Enrollment ID: O20061107000391 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Ball, RDN 5493 Clinton River Dr, Waterford, MI 48327-2521 Ph: (586) 925-6888 | Mary Ball, RDN 5493 Clinton River Dr, Waterford, MI 48327-2521 Ph: (586) 925-6888 |
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