Individual
DR. GLEN D HABERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
141 WISCONSIN AVENUE, WAUKESHA, WI 53186
(262) 547-5637
Mailing address
141 WISCONSIN AVENUE, WAUKESHA, WI 53186
(262) 547-5637
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3152
WI
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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