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Individual

DR. SAMANTHA ANNE HAEFNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(202) 888-0009
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
85591-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100334566
WI
Enumeration date
05/27/2021
Last updated
09/12/2025
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