Most Relevant Information
Provider Data
| NPI Number: | 1003199720 |
| Provider Name: | TIMOTHY E HAZARD FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 6952 |
Most Important Dates
| Enumeration Date: | 09/20/2011 |
| Last Updated: | 12/02/2021 |
Provider Practice Location
629 SOLVANG WAY
DENMARK
WI
54208
Practice Location Phone/Fax
| Phone: | 9208632600 |
| Fax: |
Provider Mailing Location
629 SOLVANG WAY
DENMARK
WI
542088951
Provider Mailing Phone/Fax
| Phone: | 9208632600 |
| Fax: |