Individual
JACOB HIATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1240 BIG JACK RD, PLATTEVILLE, WI 53818-8902
(608) 348-6266
(608) 342-5600
Mailing address
1240 BIG JACK RD, PLATTEVILLE, WI 53818-8902
(608) 348-6266
(608) 342-5600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
70957-21
WI
Other
Enumeration date
03/25/2016
Last updated
07/08/2019
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