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NPI Code Detail

MEDICARE: ELIZABETH M HALL MD

MEDICARE: ELIZABETH M HALL MD
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
1208100000XPhysical Medicine & Rehabilitation Physician4301065629MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427046952
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH M HALL MD
Provider Business Mailing Address
First Line : 28455 HAGGERTY RD STE 200
Second Line :
City : NOVI
State : MI
Zip : 48377-2982
Country : US
Telephone Number : 248-893-3200
Fax Number : 248-893-2950
Provider Business Practice Location Address
First Line : 28455 HAGGERTY RD
Second Line : SUITE 200
City : NOVI
State : MI
Zip : 48377-2982
Country : US
Telephone Number : 248-893-3200
Fax Number : 248-893-2950
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2005
Last Update Date : 07/10/2023

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