Individual
MATTHEW HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3301 CRANBERRY BLVD, WESTON, WI 54476-5216
(715) 393-3900
Mailing address
3301 CRANBERRY BLVD, WESTON, WI 54476-5216
(715) 393-3900
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
40331
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32593100
—
WI
Enumeration date
08/28/2006
Last updated
10/15/2020
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