MARK T BALLSHMIEDER — OIG Excluded Provider (MOSINEE, WI, 1128a1)
MARK T BALLSHMIEDER — OIG Excluded Provider (MOSINEE, WI, 1128a1) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: MARK T BALLSHMIEDER; Type: Individual; Provider category: PHARMACY.
| Name | MARK T BALLSHMIEDER |
|---|---|
| Type | Individual |
| Provider category | PHARMACY |
| Specialty | PHARMACIST |
| City | MOSINEE |
| State | WI |
| ZIP | 54455 |
| Exclusion authority | 1128a1 |
| Exclusion reason | Conviction of program-related crimes |
| Exclusion date | 1988-05-24 |
| Source | HHS-OIG LEIE |
$1499/mo
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