Individual
DR. ROBERT LEE HAUSSERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2105 E ENTERPRISE AVE, STE 112, APPLETON, WI 54913
(920) 731-3111
(920) 731-7133
Mailing address
2105 E ENTERPRISE AVE, STE 112, APPLETON, WI 54913
(920) 731-3111
(920) 731-7133
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
19276
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30290000
—
WI
Enumeration date
07/03/2006
Last updated
03/07/2023
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