| Doctor Name: | ROBERT W HALLER |
| NPI Number: | 1952339814 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 44444 |
| Business Practice Address: | 2845 Greenbrier Rd Green Bay, WI - 543116519 |
| Business Phone Number: | 9202884930 |
| Business Fax Number: | 9202884941 |
| Mailing Address: | 2845 Greenbrier Rd, Po Box 8900 GREEN BAY |
| State: | WI |
| Postal Code: | 543088900 |
| Phone Number: | 9202884930 |
| Fax Number: | 9202884941 |
| NPI Enumeration Date: | 06/29/2006 |
| NPI Last Update Date: | 08/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 44444 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |