Individual
BRUCE WILLIAM HALLMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036055517
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036055517
—
IL
01
—
200005698
RAILROAD MEDICARE
IL
01
—
5151090001
DMERC
IL
Enumeration date
09/15/2006
Last updated
06/10/2009
Update your record
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