Basic Information
Provider Information
NPI: 1316366743
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HALL
FirstName: MEGAN
MiddleName: MARIE
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
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Mailing Information
Address1: 7974 UW HEALTH CT
Address2:  
City: MIDDLETON
State: WI
PostalCode: 535625531
CountryCode: US
TelephoneNumber: 6088295247
FaxNumber: 6088330999
Practice Location
Address1: UW HOSPITAL AND CLINICS
Address2: 600 HIGHLAND AVE
City: MADISON
State: WI
PostalCode: 537920001
CountryCode: US
TelephoneNumber: 6082632400
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/14/2014
LastUpdateDate: 01/28/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/28/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X65419WIY Allopathic & Osteopathic PhysiciansHospitalist 
207R00000X65419-20WIN Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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