Organization Name: | CLAUDE W. HALL M.D. P.C. |
NPI Number: | 1053664672 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CLAUDE W. HALL (CEO) |
Mailing Address: | 2442 E Maple Ave Suite 300 Flint |
State: | MI US |
Postal Code: | 485074462 |
Phone Number: | 8107438454 |
Fax Number: | |
NPI Enumeration Date: | 10/19/2012 |
NPI Last Update Date: | 05/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 4301041684 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |