Provider Information for 1962794230
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ANGELA HAAS
Sex: Female
NPI: 1962794230
Last Updated: 2011-05-05
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1962794230 | ||||||||
| Enumeration Date | 2011-05-05 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 6781 GRIFFORE DR SAGINAW, MI 48604-9718 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 1010 N MADISON AVE BAY CITY, MI 48708-5926 United States Phone: 989-895-2200 | Fax: | ||||||||
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