Individual
DENNIS HAEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.A.T.
Contact information
Practice address
820 E GRANT ST, APPLETON, WI 54911-3483
(920) 831-5050
Mailing address
327 COLUMBUS AVE, BRILLION, WI 54110-1049
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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