Individual
BRUCE FREDRIC HAUPT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
610 CHESTNUT ST, SOUTH CHARLESTON, WV 25309
(304) 766-7515
(304) 766-7566
Mailing address
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1311
(304) 414-4800
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
18234
WV
207X00000X
Orthopaedic Surgery Physician
35-06-2182H
OH
Other
Enumeration date
11/07/2006
Last updated
12/23/2021
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