Organization
ROBERT L. HAUSSERMAN, M.D.,S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT L HAUSSERMAN M.D. (PRESIDENT)
(920) 731-3111
Entity
Organization
Contact information
Practice address
2105 E ENTERPRISE AVE, STE 112, APPLETON, WI 54913-7862
(920) 731-3111
(920) 731-7133
Mailing address
2105 E ENTERPRISE AVE, STE 112, APPLETON, WI 54913-7862
(920) 731-3111
(920) 731-7133
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30290000
—
WI
Enumeration date
07/20/2006
Last updated
07/21/2022
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