Organization
KRIS A HAASE DPM PLC
Active
Organization
KRIS A HAASE DPM PLC
Active
Parent organization
KRIS A HAASE DPM PLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KRIS A HAASE DPM PLC
Authorized official
KRIS A HAASE DPM (OWNER)
(248) 666-8807
Entity
Organization
Contact information
Practice address
7611 HIGHLAND RD, WATERFORD, MI 48327-1503
(248) 666-8807
(248) 666-7709
Mailing address
7611 HIGHLAND RD, WATERFORD, MI 48327-1503
(248) 666-8807
(248) 666-7709
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
KH001672
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4797510001
DME
MI
01
—
480033238
RAILROAD MEDICARE
MI
01
—
4856359200
BLUE CROSS/BCN
MI
Enumeration date
01/30/2007
Last updated
11/08/2011
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