Provider Demographics
NPI:1255383857
Name:HALL, CHRISTOPHER WH (DO)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:WH
Last Name:HALL
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:6200 SHINGLE CREEK PKWY
Mailing Address - Street 2:SUITE 260
Mailing Address - City:BROOKLYN CENTER
Mailing Address - State:MN
Mailing Address - Zip Code:55430-2128
Mailing Address - Country:US
Mailing Address - Phone:763-561-5349
Mailing Address - Fax:
Practice Address - Street 1:6601 LYNDALE AVE S
Practice Address - Street 2:SUITE 220
Practice Address - City:RICHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55423-2477
Practice Address - Country:US
Practice Address - Phone:612-823-8001
Practice Address - Fax:612-823-1010
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2020-11-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WI46687207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN133124C028OtherU-CARE
MN3100316OtherMEDICA
MN166631200Medicaid
MN390000400OtherMEDICARE
MN876G6HAOtherBCBS
MN1046171OtherPREFERRED ONE
MNHP59875OtherHEALTHPARTNERS
WI43528400Medicaid
MNP00355154OtherRR MEDICARE
MNP00355154Medicare PIN
MN133124C028OtherU-CARE
MN3100316OtherMEDICA