Individual
MARY HAUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3015 SUNRISE DR, HUBERTUS, WI 53033-9649
(262) 751-2560
Mailing address
3015 SUNRISE DR, HUBERTUS, WI 53033-9649
(262) 751-2560
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
177409-30
WI
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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