Organization
WATERTOWN ANESTHESIOLOGY SC
Active
Organization
WATERTOWN ANESTHESIOLOGY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J HASLER MD (OWNER SECRETARY)
(920) 262-4450
Entity
Organization
Contact information
Practice address
125 HOSPITAL DR, WATERTOWN, WI 53098
(920) 262-4450
Mailing address
4555 WEST SCHROEDER DR, SUITE 170, MILWAUKEE, WI 53223
(414) 365-3210
(414) 365-3225
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32862200
—
WI
Enumeration date
06/17/2006
Last updated
03/27/2008
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