Individual
ERIC D HAUGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1212 PLEASANT ST, SUITE 300, DES MOINES, IA 50309-1453
(515) 241-8923
(515) 241-8728
Mailing address
1212 PLEASANT ST, SUITE 300, DES MOINES, IA 50309-1453
(515) 241-8923
(515) 241-8728
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35075
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063406940
—
IA
05
—
209917806
—
MO
05
—
42068045213
—
NE
Enumeration date
09/07/2005
Last updated
12/13/2011
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