Brian Richard Hallstrom
ActiveMichigan license 4301066090
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 4301066090
- Status
- Active
- First issued
- June 23, 1997
- Expires
- June 23, 2028
- License holder
- Brian Richard Hallstrom
- Entity type
- Individual
Classifications
- Medical Doctor (Medicine) Physicians & Surgeons
Contact
University of Michigan
1500 East Medical Center Drive 2912 TC, SPC 5328
Ann Arbor, MI 48109
1500 East Medical Center Drive 2912 TC, SPC 5328
Ann Arbor, MI 48109
Washtenaw County