Individual
TRICIA JH HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1020 BROADWAY AVE, UMPHYSICIANS BROADWAY FAMILY MEDICINE, MINNEAPOLIS, MN 55411
(612) 302-8200
(612) 302-8275
Mailing address
720 WASHINGTON AVE SE, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55414
(612) 884-0649
(612) 676-8992
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44707
MN
207Q00000X
Family Medicine Physician
47073
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0124778
MEDICA
MN
05
—
184577200
—
MN
01
—
2444491
AMERICA'S PPO
MN
05
—
34288800
—
WI
01
—
HP36753
HEALTH PARTNERS
MN
Enumeration date
03/23/2006
Last updated
02/06/2013
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