Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROSS HAZLEWOOD, DO
ActiveROSS HAZLEWOOD, DO is a Family Medicine healthcare provider located in MARKESAN, Wisconsin. NPI 1316948847 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MARKESAN, WI
Registration Details
- NPI Number
- 1316948847
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 9, 2005 (21.014959061768 yrs)
- Last Updated
- Oct 24, 2014
- Licenses
-
30950-021 (WI)30950-021 (WI)
Practice Information
- Address
-
340 ENTERPRISE DRIVEMARKESAN, WI, 53946Browse WI providers · Browse ZIP 53946
- Phone
- 9203982321
- Fax
- 9203982952
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- General Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.