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NPI Code Detail

MEDICARE: THOMAS WILLIAM HASPEL MD

MEDICARE: THOMAS WILLIAM HASPEL 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
12084P0800XPsychiatry PhysicianG79756CA

General Provider Information

NPI Number : 1104854843
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS WILLIAM HASPEL MD
Provider Business Mailing Address
First Line : 14500 SURREY JUNCTION LN
Second Line :
City : SUTTER CREEK
State : CA
Zip : 95685-9660
Country : US
Telephone Number : 209-296-5040
Fax Number : 209-257-2434
Provider Business Practice Location Address
First Line : 891 MOUNTAIN RANCH RD
Second Line :
City : SAN ANDREAS
State : CA
Zip : 95249-9713
Country : US
Telephone Number : 209-754-6525
Fax Number : 209-257-2434
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2006
Last Update Date : 07/08/2007

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