Tammie J Haveman

NPI #1144451139 in Hudson, Wisconsin

Provider Information

NPI Number: 1144451139
Entity Type: Individual
Name: Tammie J Haveman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Aug 7, 2009
Last Updated: May 13, 2019

Practice Location

Address: 405 STAGELINE RD
City: Hudson
State: Wisconsin
ZIP Code: 54016-7848
Phone: (715) 531-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X
Physician Assistant	363A00000X	Primary

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