Individual
WILLIAM J HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2801 BAY PARK DR, OREGON, OH 43616-4920
(419) 690-7653
(419) 697-7726
Mailing address
2801 BAY PARK DR, OREGON, OH 43616-4920
(419) 690-7653
(419) 697-7726
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704201559
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3122507
—
OH
05
—
4596689
—
MI
05
—
4835661
—
MI
01
—
H067420
MEDICARE
OH
Enumeration date
05/23/2006
Last updated
05/01/2012
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