MEDICARE: DR. STEVEN G. HAAS M.D.

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
1	207Q00000X	Family Medicine Physician	27189	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417916057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN G. HAAS M.D.

Provider Business Mailing Address
First Line	:	320 N GRANDVIEW AVE
Second Line	:	SUITE D
City	:	DUBUQUE
State	:	IA
Zip	:	52001-6328
Country	:	US
Telephone Number	:	563-583-9300
Fax Number	:	563-557-5574

Provider Business Practice Location Address
First Line	:	320 N GRANDVIEW AVE
Second Line	:	SUITE D
City	:	DUBUQUE
State	:	IA
Zip	:	52001-6328
Country	:	US
Telephone Number	:	563-583-9300
Fax Number	:	563-557-5574

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2006
Last Update Date	:	04/17/2015

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