Individual
NICOLE MARIE WILSON HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2615 FAIRWAY ST, DICKINSON, ND 58601-2590
(701) 456-6000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02003666A
IN
207Q00000X
Family Medicine Physician
12139
ND
Other
Enumeration date
06/30/2008
Last updated
10/18/2022
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