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Individual
TRAVIS JEFFREY HALLER
Active
Individual
TRAVIS JEFFREY HALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
35.153358
OH
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
30900
MN
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
69998
MN
Other
Enumeration date
06/10/2020
Last updated
07/01/2025
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