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1831122126
GORDON DALE HAUGAN
GREEN BAY, WI
NPI
1831122126
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: WI 23078)
Enumeration Date
2006-07-09
Last Update Date
2008-07-24
Business Address
-- GORDON DALE HAUGAN MD
1715 DOUSMAN ST
GREEN BAY, WI 54303-3211
Phone number: 920-496-4700
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Mailing Address
-- GORDON DALE HAUGAN MD
PO BOX 19070 PREVEA HEALTH
GREEN BAY, WI 54307-9070
Phone number: 920-496-4700
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