Individual
MICHELE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
801 S 70TH ST, WEST ALLIS, WI 53214-3147
(414) 773-6600
Mailing address
801 S 70TH ST, WEST ALLIS, WI 53214-3147
(414) 773-6600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36096
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32241200
—
WI
Enumeration date
09/13/2006
Last updated
07/08/2007
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