Individual
WILLIAM C HASELOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 W CLAIREMONT AVE, EAU CLAIRE, WI 54701-6122
(414) 290-6715
(414) 290-6755
Mailing address
111 E WISCONSIN AVE, SUITE 2000, MILWAUKEE, WI 53202-4815
(414) 290-6720
(414) 290-6755
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
30013-020
WI
207P00000X
Emergency Medicine Physician
30013-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31809700
—
WI
01
—
930046182
MEDICARE RAILROAD
WI
01
—
930068403
MEDICARE RAILROAD
WI
01
—
930072839
MEDICARE RAILROAD
WI
Enumeration date
05/23/2006
Last updated
12/17/2021
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