Individual
DAVID LEE HALSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1310 GREENWOOD AVE, STE #6, JACKSON, MI 49203-3077
(517) 787-2232
(517) 784-9219
Mailing address
1310 GREENWOOD AVE, STE #6, JACKSON, MI 49203-3077
(517) 787-2232
(517) 784-9219
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301049863
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102657159
—
MI
01
—
N53130014
MEDICARE-WA FOOTE
MI
Enumeration date
05/03/2006
Last updated
04/29/2008
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