Individual
MR. KONRAD JOESEPH HAASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3153 RUDOLPH DR, RACINE, WI 53406-1548
(262) 307-5220
Mailing address
3153 RUDOLPH DR, RACINE, WI 53406-1548
(262) 307-5220
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
12/03/2018
Last updated
12/05/2018
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