Healthcare Provider Details

I. General information

NPI: 1841257516
Provider Name (Legal Business Name): MICHAEL M HAAHS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

134 MEDICAL PARK RD SUITE 100
MOORESVILLE NC
28117-8526
US

IV. Provider business mailing address

134 MEDICAL PARK RD SUITE 100
MOORESVILLE NC
28117-8526
US

V. Phone/Fax

Practice location:
  • Phone: 704-799-8182
  • Fax: 704-799-8973
Mailing address:
  • Phone: 704-799-8182
  • Fax: 704-799-8973

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number9400515
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: