Individual
JACOB WILHELM HAGMAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
625 WALNUT RIDGE DR STE 102, HARTLAND, WI 53029-8803
(262) 367-4255
Mailing address
4242 S 90TH ST, GREENFIELD, WI 53228-2218
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001062-15
WI
Other
Enumeration date
06/22/2022
Last updated
04/08/2024
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