Individual
NICHOLAS GEORGE HAFEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4301 W WISCONSIN AVE, APPLETON, WI 54913-8605
(920) 730-8770
Mailing address
4301 W WISCONSIN AVE, FOX RIVER MALL, APPLETON, WI 54913-8605
(920) 757-9580
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2770 - 035
WI
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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