Individual
DANIEL HAFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
Mailing address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1357
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41928800
—
WI
01
—
970028909
RAILROAD MEDICARE
WI
Enumeration date
07/28/2005
Last updated
11/23/2021
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