# NATHAN R HAECKER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1134135130
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01083698A | IN | — |
| 207Q00000X | Family Medicine Physician | 036.152227 | IL | — |
| 207Q00000X | Family Medicine Physician | 11947 | SD | — |
| 207Q00000X | Family Medicine Physician | 2020-00796 | NC | — |
| 207Q00000X | Family Medicine Physician | 23926 | NE | Yes |
| 207Q00000X | Family Medicine Physician | 304100 | NY | — |
| 207Q00000X | Family Medicine Physician | 35.138831 | OH | — |
| 207Q00000X | Family Medicine Physician | 54014 | KY | — |
| 207Q00000X | Family Medicine Physician | 66988 | MN | — |
| 207Q00000X | Family Medicine Physician | 742-320 | WI | — |
| 207Q00000X | Family Medicine Physician | 86994 | GA | — |
| 207Q00000X | Family Medicine Physician | CDR.0000656 | CO | — |
| 207Q00000X | Family Medicine Physician | EMC0000218 | MI | — |
| 207Q00000X | Family Medicine Physician | MD471166 | PA | — |
| 207Q00000X | Family Medicine Physician | S5639 | TX | — |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 07/27/2021