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NPI Code Detail

MEDICARE: KRIS A HAASE DPM PLC

MEDICARE: KRIS A HAASE DPM PLC
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
1332B00000XDurable Medical Equipment & Medical SuppliesKH001672MI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1480033238OTHERMIRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
24856359200OTHERMIBLUE CROSS/BCN
34797510001OTHERMIDME

General Provider Information

NPI Number : 1073650206
Entity Type Code : Organization
Provider Name (Legal Business Name) : KRIS A HAASE DPM PLC
Provider Business Mailing Address
First Line : 7611 HIGHLAND RD
Second Line :
City : WATERFORD
State : MI
Zip : 48327-1503
Country : US
Telephone Number : 248-666-8807
Fax Number : 248-666-7709
Provider Business Practice Location Address
First Line : 7611 HIGHLAND RD
Second Line :
City : WATERFORD
State : MI
Zip : 48327-1503
Country : US
Telephone Number : 248-666-8807
Fax Number : 248-666-7709
Authorized Official
Title or Position : OWNER
Name : KRIS A HAASE
Credential : DPM
Telephone Number : 248-666-8807
Provider Enumeration Date : 01/30/2007
Last Update Date : 11/08/2011

Similar Medicare Providers

1912906751 — KRIS A HAASE DPM
Practice Location Address:
7116 HIGHLAND RD
WATERFORD, MI
48327-1503
Practice Phone: 248-666-8807
Practice Fax: 248-666-7709
1922054220 — KRIS A HAASE DPM PLC
Practice Location Address:
7116 HIGHLAND RD
WATERFORD, MI
48327-1503
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1972732055 — DR. LUCCIA HOLMES-BERNSTEIN D.P.M.
Practice Location Address:
7116 HIGHLAND RD
WATERFORD, MI
48327-1503
Practice Phone: 248-666-8807
Practice Fax: 248-666-7709
1588103865 — DR. BLERTA LICI GAQI DO
Practice Location Address:
7112 HIGHLAND RD
WATERFORD, MI
48327-1503
Practice Phone: 248-509-0055
Practice Fax:
1265014302 — MADISON RAE MARTIN RN, MSN
Practice Location Address:
7124 HIGHLAND RD
WATERFORD, MI
48327-1503
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Practice Fax:
1497497903 — DR. ZACKARY JOSEPH CLOR DPM
Practice Location Address:
7116 HIGHLAND RD
WATERFORD, MI
48327-1503
Practice Phone: 248-666-8807
Practice Fax: 248-666-7709

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