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Individual

JOHN W HAEBERLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
W180N8085 TOWN HALL RD, MENOMONEE FALLS, WI 53051-3518
(262) 251-1000
(262) 518-5052
Mailing address
W180N8085 TOWN HALL RD, MENOMONEE FALLS, WI 53051-3518
(262) 251-1000
(262) 518-5052

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
44670
WI
2086S0127X
Trauma Surgery Physician
44670
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1477650109
WI
05
504060323B
GA
Enumeration date
09/16/2006
Last updated
08/15/2022
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