Provider Demographics
NPI:1942420690
Name:HAUSER, JOHN (RN, ND, LAC)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:
Last Name:HAUSER
Suffix:
Gender:M
Credentials:RN, ND, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 HOMESTEAD TRL
Mailing Address - Street 2:
Mailing Address - City:GRAFTON
Mailing Address - State:WI
Mailing Address - Zip Code:53024-1160
Mailing Address - Country:US
Mailing Address - Phone:612-735-1610
Mailing Address - Fax:
Practice Address - Street 1:500 ELM GROVE RD STE 325
Practice Address - Street 2:
Practice Address - City:ELM GROVE
Practice Address - State:WI
Practice Address - Zip Code:53122-2561
Practice Address - Country:US
Practice Address - Phone:612-735-1610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR-102593-2163W00000X
WI789-55171100000X
MN1489171100000X
WI87086163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No163W00000XNursing Service ProvidersRegistered Nurse