Individual
DR. BENEDICT R. HAEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
425 ELM ST N, CENTRACARE HEALTH SYSTEM-SAUK CENTRE, SAUK CENTRE, MN 56303-1010
(320) 352-6591
(320) 352-5164
Mailing address
425 ELM ST N, CENTRACARE HEALTH SYSTEM - SAUK CENTRE, SAUK CENTRE, MN 56303-1010
(320) 352-6591
(320) 352-5164
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43659
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080184780
RAILROAD MEDICARE
GA
05
—
273673000
—
MN
01
—
52D34HA
BCBS
MN
01
—
N003453
CHAMPUS
MN
Enumeration date
06/18/2006
Last updated
04/06/2015
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