Individual
MR. MARK THOMAS HABERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
3251 W 9TH ST, WATERLOO, IA 50702-5310
(319) 234-2893
(319) 234-0354
Mailing address
3251 W 9TH ST, WATERLOO, IA 50702-5310
(319) 234-2893
(319) 234-0354
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P48603
IA
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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