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Individual

DR. PETER HASSELBACHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3505 WINTERBERRY CIR, LOUISVILLE, KY 40207-5705
(502) 852-4747
Mailing address
3505 WINTERBERRY CIR, LOUISVILLE, KY 40207-5705
(502) 852-4747

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23730
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
UPIN C66759
KY
Enumeration date
04/04/2007
Last updated
06/10/2010
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