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Organization

EASTERN WISCONSIN COLONOSCOPY & GASTROENTEROLOGY, SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID L HALLER M.D. (PRESIDENT)
(920) 457-4400
Entity
Organization

Contact information

Practice address
1414 N TAYLOR DR STE 144, SHEBOYGAN, WI 53081-1988
(920) 457-4400
(920) 457-4422
Mailing address
1414 N TAYLOR DR STE 144, SHEBOYGAN, WI 53081-1988
(920) 457-4400
(920) 457-4422

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary

Other

Enumeration date
04/26/2006
Last updated
06/24/2010
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