Individual
ROBERT W HALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-4930
(920) 288-4941
Mailing address
2845 GREENBRIER RD, PO BOX 8900, GREEN BAY, WI 54308-8900
(920) 288-4930
(920) 288-4941
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
44444
WI
2085R0202X
Diagnostic Radiology Physician
Primary
44444-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104395500
—
MI
01
—
300129574
RAILROAD
WI
05
—
34217800
—
WI
Enumeration date
06/29/2006
Last updated
05/20/2025
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