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Individual

LOUIS CHARLES HAENEL IV

Active
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Individual

LOUIS CHARLES HAENEL IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
472
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000731432
HIGHMARK BLUE SHIELD
PA
05
—
004729
—
SC
01
—
0482818000
AMERIHEALTH HMO
NJ
01
—
5616786
AETNA
NJ
Enumeration date
06/07/2006
Last updated
11/10/2025
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