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Individual

DOUGLAS HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1150 E SHERMAN BLVD, SUITE 1125, MUSKEGON, MI 49444-1871
(231) 672-6740
Mailing address
PO BOX 1848, MUSKEGON, MI 49443-1848
(231) 727-4444
(231) 728-4789

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
4301065628
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4287772
MI
Enumeration date
12/23/2005
Last updated
08/16/2016
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