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Individual
DR. NICHOLAS HALL
Active
Individual
DR. NICHOLAS HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5151015489
MI
208D00000X
General Practice Physician
5101027698
MI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
5101027698
MI
Other
Enumeration date
04/27/2022
Last updated
06/18/2025
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