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Individual

DARRELL E HAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8200
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8340

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23353
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12664
DEAN
WI
01
23353
TOUCHPOINT
WI
05
30360700
WI
01
39080723629
UNITY
WI
01
WI0162
JOHN DEERE
WI
Enumeration date
11/07/2005
Last updated
08/29/2007
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