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Individual

NATHAN HOADLEY HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1200 OAKLEAF WAY STE A, ALTOONA, WI 54720
(800) 322-1747
Mailing address
1200 OAKLEAF WAY STE A, ALTOONA, WI 54720-2245
(800) 322-1747

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
70054-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
70054
LICENSE
WI
Enumeration date
04/24/2012
Last updated
12/17/2021
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