Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0002X | Hospice and Palliative Medicine | 50861-20 | WI |
Y | 207RH0003X | Hematology & Oncology | 50861-20 | WI |
NPI | 1356486591 |
---|---|
Provider Name | Galen R Hasler |
First Address | Madison, WI 53703-3861 |
Second Address | Madison, WI 53703-3861 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2007 |
Last Update Date | 24/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A11665 | (02) |