Individual
MR. JONATHAN EDWARD HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4000 W WALTON BLVD STE B, WATERFORD, MI 48329-4191
(248) 461-6266
Mailing address
1920 S HILL RD, MILFORD, MI 48381-3231
(248) 838-8924
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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