Individual
CLEMENS ERWIN HALLMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13911 ST FRANCIS BLVD, SUITE 101, MIDLOTHIAN, VA 23114
(804) 320-3999
(804) 323-9383
Mailing address
13911 ST FRANCIS BLVD, SUITE 101, MIDLOTHIAN, VA 23114
(804) 320-3999
(804) 323-9383
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101027750
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011654
ANTHEM BC
VA
05
—
5673780
—
VA
Enumeration date
10/31/2005
Last updated
09/05/2007
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