Individual
RAFAEL HASTEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
752 N HIGH POINT RD, MADISON, WI 53717
(608) 824-4470
Mailing address
752 N HIGH POINT RD, MADISON, WI 53717-2236
(608) 824-4470
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5716-851
WI
207R00000X
Internal Medicine Physician
Primary
66821-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871989665
—
WI
Enumeration date
04/08/2015
Last updated
11/23/2020
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