NPI 1235123225

Martin J Haanstad, PHD

Practitioner Psychologist Appleton, WI

Practice location

Address: 1531 S Madison St, Appleton, WI 54915-1800
Phone: (920) 730-4411

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 833 (WI)

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Registry record

NPI: 1235123225
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Sep 2005
Record last updated: 2 Sep 2008

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.