MEDICARE: DAVID MICHAEL HASL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	35069877	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710978424
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID MICHAEL HASL MD

Provider Business Mailing Address
First Line	:	2405 N COLUMBUS ST
Second Line	:	STE 250
City	:	LANCASTER
State	:	OH
Zip	:	43130-8185
Country	:	US
Telephone Number	:	740-654-6213
Fax Number	:	740-654-3346

Provider Business Practice Location Address
First Line	:	2405 N COLUMBUS ST
Second Line	:	STE 250
City	:	LANCASTER
State	:	OH
Zip	:	43130-8185
Country	:	US
Telephone Number	:	740-654-6213
Fax Number	:	740-654-3346

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	10/11/2007

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