Individual
DR. HAZEN HENRY TUCK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
903 MINERAL POINT AVE, LUNG CLINIC, JANESVILLE, WI 53548-2970
(608) 752-6255
Mailing address
903 MINERAL POINT AVE, LUNG CLINIC, JANESVILLE, WI 53548-2970
(608) 752-6255
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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