Bruce Haag LADC

NPI 1043428733 - Counselor - 101YA0400X

NPI Details
NPI 1043428733
Gender Male
Enumeration Date 05/18/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1215 SE 7TH AVE
GRAND RAPIDS MN, 55744-4201, US
Phone (218) 327-1105
Fax
Business Location
215 SE 2ND AVE
GRAND RAPIDS MN, 55744-3615, US
Phone
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State Minnesota
License Number 300340
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According to our database, Bruce Haag LADC NPI is 1043428733, taxonomy code is 101YA0400X and license number is 300340, license state is located at Minnesota. Bruce Haag LADC physically located at 1215 Se 7th Ave, Grand Rapids MN, 55744-4201. NPI Number Bruce Haag LADC has the Individual type.

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1043428733 NPI number is provided on an as is basis without warranty of any kind. 1043428733 is maintained by the National Plan & Provider Enumeration System. The contents of Bruce Haag LADC are for informational purposes only.