NPI 1003893066

Stacy L Ballard, MD

Practitioner Obstetrics & Gynecology Physician Brooklyn Park, MN

Practice location

Address: 2317 91st Cres N, Brooklyn Park, MN 55443-3855
Phone: (612) 209-2814

Registered specialties (2)

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 41031 (MN)

Other Obstetrics & Gynecology providers in Minnesota →

Obstetrics & Gynecology Physician

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 14090 (ND)

Registry record

NPI: 1003893066
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Dec 2005
Record last updated: 6 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.