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Individual

KARL J. HAAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1600 N 2ND ST, CLINTON, MO 64735-1192
(913) 261-9081
(913) 261-9081
Mailing address
PO BOX 11521, SHAWNEE MISSION, KS 66207-4221
(913) 261-9081
(913) 261-9081

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
2002003282
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050089107
RR MEDICARE
MO
05
205804404
MO
Enumeration date
09/19/2005
Last updated
09/22/2016
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