Individual
JAMES DAVID HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3301 CRANBERRY BLVD, WESTON, WI 54476-5216
(715) 393-3900
Mailing address
3301 CRANBERRY BLVD, WESTON, WI 54476-5216
(715) 393-3900
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
036128462
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
56151-20
WI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
G084053
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G840530
—
CA
05
—
036128462
—
IL
05
—
1972693018
—
WI
Enumeration date
10/12/2006
Last updated
07/07/2016
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