Individual
THERESA K HAYSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17000 W NORTH AVE, STE 107W, BROOKFIELD, WI 53005-4423
(262) 786-3722
(262) 786-0116
Mailing address
17000 W NORTH AVE, STE 107W, BROOKFIELD, WI 53005-4423
(262) 786-3722
(262) 786-0116
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
39624
WI
Other
Enumeration date
01/17/2006
Last updated
02/10/2015
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