Individual
DR. JILLIAN LOUISE EWING HAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2315 E MORELAND BLVD, WESTBROOK HEALTH CENTER, WAUKESHA, WI 53186-2939
(262) 532-5700
(262) 532-5701
Mailing address
2315 E MORELAND BLVD, WESTBROOK HEALTH CENTER, WAUKESHA, WI 53186-2939
(262) 532-5700
(262) 532-5701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
56903
WI
208000000X
Pediatrics Physician
Primary
56903
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982929410
—
WI
Enumeration date
03/27/2010
Last updated
08/19/2015
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