MEDICARE: CHRISTOPHER WH HALL D.O.

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
1	207RN0300X	Nephrology Physician	46687	WI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	390000400	OTHER	MN	MEDICARE
9	P00355154	OTHER	MN	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	133124C028	OTHER	MN	U-CARE
2	3100316	OTHER	MN	MEDICA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	876G6HA	OTHER	MN	BCBS
6	1046171	OTHER	MN	PREFERRED ONE
7	HP59875	OTHER	MN	HEALTHPARTNERS
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255383857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER WH HALL D.O.

Provider Business Mailing Address
First Line	:	6200 SHINGLE CREEK PKWY
Second Line	:	SUITE 260
City	:	BROOKLYN CENTER
State	:	MN
Zip	:	55430-2128
Country	:	US
Telephone Number	:	763-561-5349
Fax Number	:

Provider Business Practice Location Address
First Line	:	6601 LYNDALE AVE S
Second Line	:	SUITE 220
City	:	RICHFIELD
State	:	MN
Zip	:	55423-2477
Country	:	US
Telephone Number	:	612-823-8001
Fax Number	:	612-823-1010

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	11/10/2020

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