Individual
MELISSA L HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
204 S ADAMS ST, SAINT CROIX FALLS, WI 54024-9449
(715) 483-3221
Mailing address
204 S ADAMS ST, SAINT CROIX FALLS, WI 54024-9449
(715) 483-3221
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43267
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0107129
MEDICA
—
01
—
064J0HA
BLUE CROSS MN FACILITY
MN
01
—
150D4HA
BLUE CROSS MN PRO FEE
—
05
—
34108100
—
WI
01
—
HP33868
HEALTHPARTNERS
—
01
—
NA9031024999
PREFERREDONE
—
Enumeration date
08/31/2006
Last updated
07/08/2007
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