NPI 1104264233
Diana Lynn Haertel
Practice location
- Address
- 215 W Cook St, Portage, WI 53901-2105
- Phone
- (608) 742-2020
Registered specialties
Optician
Primary
Registry record
- NPI
- 1104264233
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Jun 2013
- Record last updated
- 11 Jun 2013
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.