Individual
ADAM LEE HALVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
225000 HUMMINGBIRD RD STE 100, WAUSAU, WI 54401-2950
(715) 359-6442
(715) 393-0390
Mailing address
225000 HUMMINGBIRD RD STE 100, WAUSAU, WI 54401-2950
(715) 359-6442
(715) 393-0390
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
69905
WI
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
34.012228
OH
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
69905-21
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/16/2013
Last updated
06/17/2021
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