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1013051069
MICHAEL D HAZELBERG
WEST ALLIS, WI
NPI
1013051069
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WI 50451-21)
Enumeration Date
2007-02-16
Last Update Date
2018-07-24
Business Address
MICHAEL D HAZELBERG DO
2514 S 102ND ST STE 160
WEST ALLIS, WI 53227-2142
Phone number: 414-255-0300
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Mailing Address
MICHAEL D HAZELBERG DO
2514 S 102ND ST STE 160
WEST ALLIS, WI 53227-2142
Phone number:
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