Individual
MR. ANTHONY THOMAS HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
240 MAPLE AVE, MUKWONAGO, WI 53149-8475
(262) 363-1900
Mailing address
240 MAPLE AVE, MUKWONAGO, WI 53149-8475
(262) 363-1900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4460-23
WI
Other
Enumeration date
06/21/2018
Last updated
06/20/2025
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