Provider Demographics
NPI:1588832315
Name:HALL, DAVID GERALD (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:GERALD
Last Name:HALL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:22101 MOROSS RD
Mailing Address - Street 2:DEPARTMENT OF EMERGENCY MEDICINE
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48236-2148
Mailing Address - Country:US
Mailing Address - Phone:313-343-8797
Mailing Address - Fax:313-343-7620
Practice Address - Street 1:22101 MOROSS RD
Practice Address - Street 2:DEPARTMENT OF EMERGENCY MEDICINE
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48236-2148
Practice Address - Country:US
Practice Address - Phone:313-343-8797
Practice Address - Fax:313-343-7620
Is Sole Proprietor?:No
Enumeration Date:2008-02-14
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301090650207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine