Individual
MICHAEL HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
8100 W 78TH ST, SUITE #230, EDINA, MN 55439-2516
(952) 946-9777
Mailing address
201 MCANDREWS RD W, APT 216, BURNSVILLE, MN 55337-5708
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2663
MN
Other
Enumeration date
03/19/2015
Last updated
07/07/2015
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