| Gordon Dale Haugan, MD | |
|
1715 Dousman St, Green Bay, WI 54303-3211 | |
| (920) 496-4700 | |
| (920) 436-1349 |
| Full Name | Gordon Dale Haugan |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1715 Dousman St, Green Bay, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831122126 | NPI | - | NPPES |
| 30338800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 23078 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon Dale Haugan, MD Po Box 19070, Prevea Health, Green Bay, WI 54307-9070 Ph: (920) 496-4700 | Gordon Dale Haugan, MD 1715 Dousman St, Green Bay, WI 54303-3211 Ph: (920) 496-4700 |
Mary Lynn Bartel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 835 S Van Buren St, Room 1041, Green Bay, WI 54301 Phone: 920-496-4700 Fax: 920-496-4705 | |
Kathleen Marie Barkow, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1821 S Webster Ave, Green Bay, WI 54301 Phone: 920-496-4700 Fax: 920-436-1319 | |
Kristina Ann Houn, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2793 Lineville Rd, Green Bay, WI 54313 Phone: 920-496-4700 | |
George E Whetmore, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1821 S Webster Ave, Green Bay, WI 54301 Phone: 920-496-4700 Fax: 920-436-1319 | |
Ralph Joseph Vardis, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-496-4700 Fax: 920-433-8569 | |
Dr. Robert Michael Rock Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 835 S. Vanburen St., Green Bay, WI 54301 Phone: 920-433-8360 Fax: 920-431-3163 | |
James F Winston, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-433-8360 |