GORDON DALE HAUGAN MD NPI 1831122126

NPI Information

Gordon Dale Haugan, MD is a pediatrics in Green Bay, WI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Gordon Dale Haugan, MD NPI is 1831122126. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1715 DOUSMAN ST
GREEN BAY, WI
ZIP 54303-211
Phone: (920) 496-4700
Fax: (920) 436-1349

The enumeration date for this NPI number is 7/9/2006 and was last updated on 7/24/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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