Individual
MRS. PATRICIA A HAASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3019 COIT AVE NE, GRAND RAPIDS, MI 49505-3376
(616) 365-9575
(616) 365-9468
Mailing address
3019 COIT AVE NE, GRAND RAPIDS, MI 49505-3376
(616) 365-9575
(616) 365-9468
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704214103
MI
Other
Enumeration date
07/27/2006
Last updated
12/02/2008
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