Individual
MEDERIC MICAH HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2701 PRAIRIE MEADOW DR, IOWA CITY, IA 52242-8001
(319) 467-8059
(319) 384-9305
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 467-8059
(319) 384-9305
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
49735
MN
208100000X
Physical Medicine & Rehabilitation Physician
MD-38299
IA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MD-38299
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
718425000
—
MN
Enumeration date
04/02/2007
Last updated
03/24/2025
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