Individual
JOSEPH P HARDAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
(920) 456-7601
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
49847
WI
207L00000X
Anesthesiology Physician
H7613
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110847402
—
TX
05
—
115257103
—
TX
05
—
34760700
—
WI
Enumeration date
06/15/2006
Last updated
10/20/2023
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