Individual
NIAZ M. HAQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3501 CRANBERRY BLVD, WESTON, WI 54476-5213
(715) 393-1000
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
57472
WI
208M00000X
Hospitalist Physician
20720
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09807236
—
MS
05
—
1077402
—
LA
Enumeration date
07/30/2007
Last updated
09/05/2012
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