Provider Demographics
NPI:1194999201
Name:BALL, ELIZABETH (MD PHD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:
Last Name:BALL
Suffix:
Gender:F
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2015 E NEWPORT AVENUE
Mailing Address - Street 2:SUITE 707
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53211-2982
Mailing Address - Country:US
Mailing Address - Phone:414-289-9668
Mailing Address - Fax:414-289-0974
Practice Address - Street 1:2015 E NEWPORT AVENUE
Practice Address - Street 2:SUITE 707
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53211-2982
Practice Address - Country:US
Practice Address - Phone:414-289-9668
Practice Address - Fax:414-289-0974
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-18
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program