Individual
DANIEL J HALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4320 67TH DR, UNION GROVE, WI 53182-9338
(262) 878-1211
Mailing address
335 HIGH RD, CARY, IL 60013-2629
(847) 462-0177
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49783
WI
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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