Gordon Dale Haugan
MD | Pediatrics | Male
Gordon Dale Haugan, MD is a Green Bay, Wisconsin based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Gordon Dale Haugan is
1715 Dousman St, Green Bay, Wisconsin - 54303-3211. He can be contacted on phone at
920-496-4700 and fax number 920-436-1349.
Gordon Dale Haugan is a sole proprietor of his business.
NPI number (Unique professional ID) for Gordon Dale Haugan is
1831122126 which was assigned by NPPES on 09 Jul, 2006 and it was last updated on 24 Jul, 2008.
Gordon Dale Haugan license number is
23078 for Pediatrics (208000000X) in Wisconsin.
Gordon Dale Haugan is a pediatrician who 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.
Complete Profile:
Gordon Dale Haugan basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Gordon Dale Haugan |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Gordon Dale Haugan address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1715 Dousman St
Green Bay, WI, 54303-3211
United States |
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| Phone Number : | 920-496-4700 |
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| Fax Number : | 920-436-1349 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1831122126 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 09 Jul, 2006 |
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| Last Updated On : | 24 Jul, 2008 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gordon Dale Haugan are as mentioned. Primary taxonomy code for Gordon Dale Haugan, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 23078 | WI |
Legacy Identifiers:
Other legacy medical identifiers of Gordon Dale Haugan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 30338800 | MEDICAID | WI | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 19070, Prevea Health
Green Bay, WI, 54307-9070
United States |
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| Phone Number : | 920-496-4700 |
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| Fax Number : | 920-436-1349 |
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Business Location:
Patients can refer following map for directions to
Gordon Dale Haugan practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.