LAURA RAE HALLSTROM M.D.
Individual Provider (NPI-1)
Active
Internal Medicine
Provider Information
- NPI Number
1609253525- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 2799 W GRAND BLVD, DETROIT, MI, 482022608
- Phone
- (313) 916-2600
Specialties & Taxonomies
Internal Medicine
License: KY #R3785
Internal Medicine, Hospice and Palliative Medicine
License: OH #57.245329
Student in an Organized Health Care Education/Training Program
Internal Medicine
Primary License: MI #4301510789