Individual
JOHN M HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
610 N BROADWAY, GREEN BAY, WI 54303-3426
(920) 437-7206
Mailing address
200 ELK CT, GREEN BAY, WI 54302-4927
(920) 465-0557
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34129-20
WI
207V00000X
Obstetrics & Gynecology Physician
34129
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31919600
—
WI
Enumeration date
01/09/2007
Last updated
11/06/2025
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