Individual
DR. JEFFREY D HALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27555 FARMINGTON RD 120, FARMINGTON HILLS, MI 48334-3376
(248) 477-5608
Mailing address
27555 FARMINGTON RD 120, FARMINGTON HILLS, MI 48334-3376
(248) 477-5608
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301405755
MI
208000000X
Pediatrics Physician
4301405755
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110027779
RAIL ROAD MEDICARE
MI
05
—
1959880
—
MI
Enumeration date
01/04/2006
Last updated
06/02/2016
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