Individual
DR. HAZEN HENRY TUCK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
54652-20
WI
207RP1001X
Pulmonary Disease Physician
Primary
54652-20
WI
Other
Enumeration date
06/29/2007
Last updated
07/16/2013
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