Individual
MARIE F HALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-6356
(248) 858-3642
Mailing address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-6356
(248) 858-3642
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
4704122109
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104868493
—
MI
01
—
500F328230
BCBSM GROUP PIN
MI
Enumeration date
07/21/2006
Last updated
02/12/2021
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