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Individual

JOHN CHARLES HALLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
420 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0341
(612) 624-8199
Mailing address
13217 BACARDI AVE W, ROSEMOUNT, MN 55068-3049

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
52453
MN

Other

Enumeration date
03/04/2009
Last updated
07/02/2011
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