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Individual
DR. MARK HAAS
Active
Individual
DR. MARK HAAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
136
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16483
PRESBYTERIAN PIN
NM
05
—
54304
—
NM
01
—
NM005346
BLUE CROSS PIN
NM
Enumeration date
07/05/2005
Last updated
03/08/2010
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