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Individual

GREGORY A HAUGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-3300
(701) 364-8906
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-3300
(701) 364-8906

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
208
ND
103T00000X
Psychologist
LP4440
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
137095
UCARE #
ND
05
16920
ND
01
23120
ND MEDICARE#
ND
05
268750000
ND
01
36594HA
MNBS #
ND
01
370J8HA
MNBS #
ND
01
5342
NDBS #
ND
01
6134949
MEDICA #
ND
01
676706
AMERICA'S PPO/ARAZ #
ND
01
DA9011026969
PREFERRED ONE #
ND
01
HP25773
HEALTHPARTNERS #
ND
01
ND200086
LHS #
ND
Enumeration date
07/05/2006
Last updated
07/17/2012
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