Individual
ADA M HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1550 MIDWAY PL, MENASHA, WI 54952-1165
(920) 727-8280
Mailing address
1550 MIDWAY PL, MENASHA, WI 54952-1165
(920) 727-8280
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
27461
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30717900
—
WI
Enumeration date
09/12/2005
Last updated
02/10/2012
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