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Contact Information

DAVID C HALLER, DO
80 68TH ST SE
GRAND RAPIDS, MI49548
 Phone: 616-391-8242
 Fax: 616-391-8317
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for DAVID C HALLER · (Male)

NPI Number 1538422159
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/19/2012
Last updated 07/02/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 20A16525
  • MI License # 5101020022
  • MI Medicaid 1538422159
Hospital affiliation(s)
  • MERCY GENERAL HOSPITAL - (Acute Care)
    4001 J ST
    SACRAMENTO, CA 95819
  • METHODIST HOSPITAL OF SACRAMENTO - (Acute Care)
    7500 HOSPITAL DRIVE
    SACRAMENTO, CA 95823
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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