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Individual

MICHAEL D HAZELBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2514 S 102ND ST STE 160, WEST ALLIS, WI 53227-2142
(414) 255-0300
(414) 543-9601
Mailing address
2514 S 102ND ST STE 160, WEST ALLIS, WI 53227-2142

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
50451-21
WI

Other

Enumeration date
02/16/2007
Last updated
07/24/2018
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