Individual
DR. MELVIN A HAGGART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1541 ANNEX RD, JEFFERSON, WI 53549-9803
(920) 674-3105
Mailing address
1541 ANNEX RD, JEFFERSON, WI 53549-9803
(920) 674-3105
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
21706020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30300400
—
WI
Enumeration date
08/16/2006
Last updated
07/10/2008
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