Karl J. Haake MD

NPI 1003801747 - Anesthesiology - 207LP2900X

NPI Details
NPI 1003801747
Gender Male
Enumeration Date 09/19/2005
Last Updated 08/22/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
1241 W STADIUM BLVD
JEFFERSON CITY MO, 65109-6023, US
Phone (573) 635-5264
Fax
Business Location
PO BOX 104240
JEFFERSON CITY MO, 65110-4240, US
Phone (573) 635-5264
Fax (573) 556-5757
Toxanomy
Taxonomy Code 207LP2900X
License State Missouri
License Number 2002003282
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According to our database, Karl J. Haake MD NPI is 1003801747, taxonomy code is 207LP2900X and license number is 2002003282, license state is located at Missouri. Karl J. Haake MD physically located at 1241 W Stadium Blvd, Jefferson City MO, 65109-6023. NPI Number Karl J. Haake MD has the Individual type.

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1003801747 NPI number is provided on an as is basis without warranty of any kind. 1003801747 is maintained by the National Plan & Provider Enumeration System. The contents of Karl J. Haake MD are for informational purposes only.