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NPI Code Detail

MEDICARE: RACHEL HAUKE

MEDICARE: RACHEL HAUKE
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
1174400000XSpecialist

General Provider Information

NPI Number : 1164197992
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL HAUKE
Provider Business Mailing Address
First Line : 891 BELSLY BLVD
Second Line :
City : MOORHEAD
State : MN
Zip : 56560-5055
Country : US
Telephone Number : 218-287-4338
Fax Number : 218-287-5928
Provider Business Practice Location Address
First Line : 1041 HAWK ST
Second Line :
City : DETROIT LAKES
State : MN
Zip : 56501-6958
Country : US
Telephone Number : 218-844-6853
Fax Number : 218-287-5928
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2021
Last Update Date : 09/10/2025

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Directions to “ RACHEL HAUKE ” Practice Location

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