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Individual

MICHAEL E. HAUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
201 STATE ST, ERIE, PA 16550-0002
(814) 877-6182
(814) 877-6149
Mailing address
201 STATE ST, ERIE, PA 16550-0002
(814) 877-6182
(814) 877-6149

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
OS006565L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00025196502
UNIVERA
05
0016413790021
PA
01
01796890
NY MEDICAL ASSISTANCE
NY
01
070977
UNISON - HAMOT RADIOLOGY
PA
01
147525
UNISON - IMAGING CENTER
PA
01
1521112
GATEWAY
PA
01
2058731
OH MEDICAL ASSISTANCE
OH
01
300126202
RR MEDICARE
PA
01
302495
UPMC
PA
01
3050654
AETNA
PA
01
902479
BLUE SHIELD
PA
Enumeration date
07/20/2005
Last updated
05/16/2013
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