Individual
DR. J FREDERICK HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
523 N 3RD ST, BRAINERD, MN 56401-3054
(218) 829-2861
(218) 828-7510
Mailing address
523 N 3RD ST, BRAINERD, MN 56401-3054
(218) 829-2861
(218) 828-7510
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
23541
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23541
LICENSE NUMBER
MN
05
—
453872200
—
MN
Enumeration date
01/24/2006
Last updated
01/08/2016
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