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Individual
DR. MARTIN R HALL
Active
Individual
DR. MARTIN R HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01036580A
IN
207X00000X
Orthopaedic Surgery Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000095624
ANTHEM BCBS
IN
01
—
31603346
BCBS
IL
01
—
36379809016898
ADVOCATE
—
01
—
4339671
AETNA
—
01
—
DD9203
RR MEDICARE
IL
01
—
DE2045
RR MEDICARE
IN
Enumeration date
04/05/2006
Last updated
02/13/2008
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