Individual
JODI L HALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
601 JOHN ST, SUITE M424, KALAMAZOO, MI 49007-5341
(269) 349-3350
(269) 349-2403
Mailing address
601 JOHN ST, SUITE M424, KALAMAZOO, MI 49007-5341
(269) 349-3350
(269) 349-2403
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006789
MI
Other
Enumeration date
09/16/2013
Last updated
11/27/2023
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