Individual
DAVID HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
8333 FELCH ST, ZEELAND, MI 49464-2608
(616) 391-3139
Mailing address
100 MICHIGAN ST NE, MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003017
MI
Other
Enumeration date
08/29/2006
Last updated
03/05/2021
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