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Individual

DR. CRAIG A HABERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
501 GOPHER DR, TOMAH, WI 54660-4513
(608) 372-2181
Mailing address
501 GOPHER DR, TOMAH, WI 54660-4513

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
28767
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3000
DEAN HEATH SYSTEMS
WI
05
31711100
WI
Enumeration date
09/29/2005
Last updated
03/15/2021
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