Individual
MR. TIMOTHY E HAZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
629 SOLVANG WAY, DENMARK, WI 54208
(920) 863-2600
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-6250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6952
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003199720
—
WI
01
—
363F0000X
TAXONOMY#
IL
Enumeration date
09/20/2011
Last updated
07/25/2025
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