Individual
JEFFREY B HALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4260 PLYMOUTH ROAD, ANN ARBOR, MI 48109-2700
(734) 764-6831
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301046910
MI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
4301046910
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
4301046910
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1519640
—
MI
Enumeration date
10/18/2006
Last updated
05/19/2022
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