Individual
RAY C HASELBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449
(715) 387-5193
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5777
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
19108
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31256800
—
WI
Enumeration date
08/28/2006
Last updated
11/17/2022
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