Provider Demographics
NPI:1144547027
Name:HAPP, DORRIE MARIE (MD)
Entity type:Individual
Prefix:
First Name:DORRIE
Middle Name:MARIE
Last Name:HAPP
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 NEENAH CTR
Mailing Address - Street 2:
Mailing Address - City:NEENAH
Mailing Address - State:WI
Mailing Address - Zip Code:54956-3070
Mailing Address - Country:US
Mailing Address - Phone:715-256-3000
Mailing Address - Fax:920-256-3079
Practice Address - Street 1:710 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:WAUPACA
Practice Address - State:WI
Practice Address - Zip Code:54981-1941
Practice Address - Country:US
Practice Address - Phone:715-256-3062
Practice Address - Fax:715-256-3079
Is Sole Proprietor?:No
Enumeration Date:2010-04-30
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN54126207Q00000X
WI60199207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
1144547027OtherBCBS OF MN
MN1144547027Medicaid
1144547027OtherMEDICA
1144547027OtherBCBS OF MN
WIK400104038Medicare PIN