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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
1213ES0103XFoot & Ankle Surgery PodiatristKH001672MI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2480033238OTHERMIRAILROAD MEDICARE
31073650206OTHERMIMEDICARE DME
41922054220OTHERMIMEDICARE ADVANTAGE
81922054220OTHERMIMEDICARE DME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10F36074OTHERMIBLUE CROSS
54856359200OTHERMIBLUE CROSS
6C8124OTHERMIM-CARE
77599462OTHERMIAETNA

General Provider Information

NPI Number : 1922054220
Entity Type Code : Organization
Provider Name (Legal Business Name) : KRIS A HAASE DPM PLC
Provider Business Mailing Address
First Line : 7116 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 : 7116 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 : DR. KRIS A HAASE
Credential : DPM
Telephone Number : 248-666-8807
Provider Enumeration Date : 05/26/2006
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
1073650206 — KRIS A HAASE DPM PLC
Practice Location Address:
7611 HIGHLAND RD
WATERFORD, MI
48327-1503
Practice Phone: 248-666-8807
Practice Fax: 248-666-7709
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
Practice Phone: 248-431-7245
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

Directions to “KRIS A HAASE DPM PLC ” Practice Location

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