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Organization
EASTERN WISCONSIN COLONOSCOPY & GASTROENTEROLOGY, SC
Active
Organization
EASTERN WISCONSIN COLONOSCOPY & GASTROENTEROLOGY, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID L HALLER M.D. (PRESIDENT)
(920) 457-4400
Entity
Organization
Contact information
Practice address
1414 N TAYLOR DR STE 144, SHEBOYGAN, WI 53081-1988
(920) 457-4400
(920) 457-4422
Mailing address
1414 N TAYLOR DR STE 144, SHEBOYGAN, WI 53081-1988
(920) 457-4400
(920) 457-4422
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
04/26/2006
Last updated
06/24/2010
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