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Individual

MR. MICHAEL J HAUNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
3576A NU ROC LN, LAONA, WI 54541-9291
(715) 674-4477
Mailing address
800 JAMES CT, PULASKI, WI 54162-9476
(920) 822-8458

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1679-024
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40013600
WI
Enumeration date
04/07/2008
Last updated
04/07/2008
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