Individual
RICHARD HALLOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
214 S BROADWAY ST STE 300, LAKE ORION, MI 48362-4203
(248) 690-9800
Mailing address
214 S BROADWAY ST STE 300, LAKE ORION, MI 48362-4203
(248) 690-9800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4704306499
MI
363LF0000X
Family Nurse Practitioner
Primary
4704306499
MI
Other
Enumeration date
01/12/2026
Last updated
07/28/2026
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