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Individual

MATTHEW J HAUCK

Active
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Individual

MATTHEW J HAUCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MD60367839
WA
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
MD153690
OR
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
MD60367839
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2013026
WA
Enumeration date
05/28/2008
Last updated
11/12/2019
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