Individual
DR. MARY LOIS HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3500 HUMBOLDT AVE S, MINNEAPOLIS, MN 55408-3316
(612) 816-8932
Mailing address
3500 HUMBOLDT AVE S, MINNEAPOLIS, MN 55408-3316
(612) 816-8932
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
27600
MN
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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