Dr. Jennifer L. Hailey D.O.
Full Name
Dr. Jennifer Lee Hailey D.O.
NPI Number
1205046133
NPI Type
Individual Provider
Gender
Female
Enumeration Date
05/22/2007
Specialties
(Taxonomies)Licenses
State
Arizona
California
Colorado
Illinois
Indiana
Iowa
Maine
Michigan
Nevada
License Number
007036
20A12663
DR.0059255
036142932
02004896A
DO04949
DO2643
5101016903
DO2169
Contact
Information
Purpose
Mailing
Location
Address
560 4TH ST
2300 N MAYFAIR RD
City
Prairie Du Sac
Wauwatosa
State
WI
WI
Postal Code
53578-1136
53226-1505
Country
US
US
Telephone Number
(608) 643-3663
(414) 727-4455
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/07/2023