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Individual
DR. BENEDICT R. HAEG
Active
Individual
DR. BENEDICT R. HAEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43659
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080184780
RAILROAD MEDICARE
GA
05
—
273673000
—
MN
01
—
52D34HA
BCBS
MN
01
—
N003453
CHAMPUS
MN
Enumeration date
06/18/2006
Last updated
04/06/2015
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