Individual
MATT HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN,PA-C
Contact information
Practice address
901 KIMOLE LN, A-4, ADRIAN, MI 49221-1491
(517) 263-6140
(517) 265-5876
Mailing address
901 KIMOLE LN, A-4, ADRIAN, MI 49221-1491
(517) 263-6140
(517) 265-5876
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA40223
OH
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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