Most Relevant Information
Provider Data
| NPI Number: | 1003049164 |
| Provider Name: | JEFFREY RYAN HALL AA |
| Entity Type: | Individual |
| Taxonomy Code: | 367H00000X |
| Specialty: | Anesthesiologist Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/24/2009 |
| Last Updated: | 07/03/2014 |
Provider Practice Location
3333 EVERGREEN DR NE
GRAND RAPIDS
MI
495259493
Practice Location Phone/Fax
| Phone: | 6163644200 |
| Fax: | 6163647347 |
Provider Mailing Location
3333 EVERGREEN DR NE
GRAND RAPIDS
MI
495259493
Provider Mailing Phone/Fax
| Phone: | 6163644200 |
| Fax: | 6163647347 |