Individual
DR. JEFFREY HALLADAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
601 JOHN ST, STE M-124, KALAMAZOO, MI 49007-5341
(269) 341-7500
(269) 341-7540
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
0450009
KS
2084N0400X
Neurology Physician
40163
SC
2084N0400X
Neurology Physician
Primary
4301099265
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401639
—
SC
05
—
ENROLLED
—
MN
01
—
P00804136
MEDICARE RAILROAD
MN
Enumeration date
06/18/2007
Last updated
11/12/2024
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