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Organization

SCHOOL DISTRICT OF JANESVILLE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MATHEW L HAEGER RN (MANAGER OF HEALTH AND SAFETY)
(608) 743-5097
Entity
Organization

Contact information

Practice address
527 S FRANKLIN ST, JANESVILLE, WI 53548-4779
(608) 743-5097
(608) 743-5068
Mailing address
527 S FRANKLIN ST, JANESVILLE, WI 53548-4779
(608) 743-5097
(608) 743-5068

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1689811432
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1164603304
WI
05
1477735447
WI
05
1962691246
WI
Enumeration date
06/30/2010
Last updated
06/30/2010
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