CHARLES HALL

MILWAUKEE, WI
NPI1124459664
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy222Z00000X Orthotist
(Licence: WI  CO4127)
Additional Taxonomies222Z00000X Orthotist
Enumeration Date2013-12-10
Last Update Date2013-12-10
Business Address
-- CHARLES HALL C.O.
2578 N MARTIN LUTHER KING DR
MILWAUKEE, WI 53212-2710
Phone number: 414-374-4256
Mailing Address
-- CHARLES HALL C.O.
2578 N MARTIN LUTHER KING DR
MILWAUKEE, WI 53212-2710
Phone number:
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