NPI 1013051069

Michael D Hazelberg, DO

Practitioner Family Medicine Physician West Allis, WI

Practice location

Address: 2514 S 102nd St STE 160, West Allis, WI 53227-2142
Phone: (414) 255-0300
Fax: (414) 543-9601

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 50451-21 (WI)

Other Family Medicine providers in Wisconsin →

Registry record

NPI: 1013051069
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Feb 2007
Record last updated: 24 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.