Individual
DAVID LEE HALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8570
(920) 926-8923
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8570
(920) 926-8923
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
43137-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34061900
—
WI
Enumeration date
05/22/2006
Last updated
12/02/2020
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