Individual
MRS. CAROL THERESE HAUGHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1050 LEGION DRIVE, ELM GROVE, WI 53122
(262) 782-8272
(262) 782-5420
Mailing address
1050 LEGION DRIVE, ELM GROVE, WI 53122
(262) 782-8272
(262) 782-5420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
311023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30477700
—
WI
Enumeration date
11/02/2006
Last updated
07/08/2007
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