Individual
DR. MICHAEL B HALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2101 E JEFFERSON ST, KAISER PERMANENTE SPRINGFIELD MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(701) 922-1000
(703) 922-1039
Mailing address
2101 EAST JEFFERSON STREET PPQA MEDICARE COMPLIANCE UNI, KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101048419
VA
Other
Enumeration date
11/22/2006
Last updated
11/16/2011
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