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NPI Code Detail

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

MEDICARE: CLAUDE W. HALL, M.D., P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1302R00000XHealth Maintenance Organization4301041684MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1C57340OTHERMILICENSE 4301041684

General Provider Information

NPI Number : 1982963666
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLAUDE W. HALL, M.D., P.C.
Provider Business Mailing Address
First Line : 29747 RAVENSCROFT
Second Line :
City : FARMINGTON HILLS
State : MI
Zip : 48331-2128
Country : US
Telephone Number : 248-417-4080
Fax Number : 248-788-1360
Provider Business Practice Location Address
First Line : 29747 RAVENSCROFT
Second Line :
City : FARMINGTON HILLS
State : MI
Zip : 48331-2128
Country : US
Telephone Number : 248-417-4080
Fax Number : 248-788-1360
Authorized Official
Title or Position : PRESIDENT
Name : CLAUDE W HALL
Credential : M.D.
Telephone Number : 248-417-4080
Provider Enumeration Date : 05/15/2012
Last Update Date : 05/15/2012

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Directions to “CLAUDE W. HALL, M.D., P.C. ” Practice Location

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