Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Laura Rae Hallstrom, MD

Individual provider Internal Medicine Physician · NPI 1609253525

Laura Rae Hallstrom, MD is an Internal Medicine in Detroit, Michigan. Graduated from Wright State University Boonshoft School of Medicine in 2015, 11 years ago. Practices with Henry Ford Health System, a 2,540-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Kentucky, Michigan and Ohio.

Years since qualifying
11
Trained at
Wright State University Boonshoft School of Medicine
Licensed in
KY, MI, OH
In the registry since
2015
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (313) 916-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 800 Rose St, Lexington, KY 40536-0001 — (859) 323-5871
  • 9500 Euclid Ave # Ca-62, Cleveland, OH 44195 — (216) 970-7254

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301510789 (MI)
Internal Medicine Physician Taxonomy 207R00000X · Licence R3785 (KY)
Hospice and Palliative Medicine (Internal Medicine) Physician Taxonomy 207RH0002X · Licence 57.245329 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1609253525
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 29, 2015
Last updated in NPPESJanuary 15, 2024
Certification dateJanuary 15, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolWRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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