Individual
DR. TERRENCE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
N11896 STATE ROAD 175, LOMIRA, WI 53048-9209
(414) 566-6400
(414) 566-3866
Mailing address
N11896 HWY 175, LOMIRA, WI 53048
(414) 566-6400
(414) 566-3866
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14720-020
WI
Other
Enumeration date
08/17/2006
Last updated
07/09/2007
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