Healthcare Provider Details

I. General information

NPI: 1578557013
Provider Name (Legal Business Name): FRANK NELSON HAUGLAND M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2005
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1825 LOGAN AVE
WATERLOO IA
50703-1916
US

IV. Provider business mailing address

146 W DALE ST STE 103
WATERLOO IA
50703-1901
US

V. Phone/Fax

Practice location:
  • Phone: 319-235-3941
  • Fax:
Mailing address:
  • Phone: 319-235-3777
  • Fax: 319-235-3134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberMD-31429
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: