| Richard A. Hall, D.o., Plc | |
|
4674 Hill St Cass City MI 48726-1009 | |
| (989) 872-4725 | |
| Not Available |
| Full Name | Richard A. Hall, D.o., Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 4674 Hill St, Cass City, Michigan |
| Authorized Official Name and Position | Richard A Hall (OWNER) |
| Authorized Official Contact | 9898724725 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard A. Hall, D.o., Plc 4674 Hill St Cass City MI 48726-1009 Ph: (989) 872-4725 | Richard A. Hall, D.o., Plc 4674 Hill St Cass City MI 48726-1009 Ph: (989) 872-4725 |
| NPI Number | 1932375813 |
|---|---|
| Provider Enumeration Date | 05/01/2008 |
| Last Update Date | 05/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932375813 | NPI | - | NPPES |
| 4111993 | Medicaid | MI | |
| 5709132 | Other | MI | BLUE CARE NETWORK |
| 0857901324 | Other | MI | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101007053 (Michigan) | Primary |
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