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Individual
DR. JON SCOTT HALLBERG
Active
Individual
DR. JON SCOTT HALLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36295
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059A0HA
BCBS
MN
01
—
1008966
PREFERRED ONE
MN
01
—
102652
UCARE
MN
01
—
21741
ARAZ
MN
05
—
955325800
—
MN
01
—
HP20043
HEALTHPARTNERS
MN
Enumeration date
07/10/2006
Last updated
09/21/2009
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