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Organization

CLAUDE W. HALL, M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CLAUDE W HALL M.D. (PRESIDENT)
(248) 417-4080
Entity
Organization

Contact information

Practice address
29747 RAVENSCROFT, FARMINGTON HILLS, MI 48331-2128
(248) 417-4080
(248) 788-1360
Mailing address
29747 RAVENSCROFT, FARMINGTON HILLS, MI 48331-2128
(248) 417-4080
(248) 788-1360

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
4301041684
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C57340
LICENSE 4301041684
MI
Enumeration date
05/15/2012
Last updated
05/15/2012
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