Individual
MS. DEANNE MARIE HAUCH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1317 W GRAND AVE, PORT WASHINGTON, WI 53074-2075
(262) 284-2261
Mailing address
2150 W GOOD HOPE RD, UNIT 207, GLENDALE, WI 53209-2744
(414) 247-0128
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
397-039
WI
2255A2300X
Athletic Trainer
—
IL
Other
Enumeration date
05/19/2006
Last updated
07/08/2007
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