Individual
CHARLES HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.O.
Contact information
Practice address
2578 N MARTIN LUTHER KING DR, MILWAUKEE, WI 53212-2710
(414) 374-4256
Mailing address
2578 N MARTIN LUTHER KING DR, MILWAUKEE, WI 53212-2710
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CO4127
WI
222Z00000X
Orthotist
—
—
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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