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Individual

DR. MATTHEW JOHN HAAG

Active
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Individual

DR. MATTHEW JOHN HAAG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2134
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001764617
BC/BS
WV
01
—
187682
ANTHEM BC/BS
WV
01
—
313828
CARELINK
WV
05
—
3810003468
—
WV
01
—
7280480
AETNA
WV
01
—
P00265300
RAILROAD MEDICARE
WV
Enumeration date
10/12/2005
Last updated
05/15/2017
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