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Individual

CHRISTIAN MELVIN HAUG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
3301 13TH AVE SW, STE #3, FARGO, ND 58103
(701) 234-0057
(701) 234-0422
Mailing address
3301 13TH AVE SW, STE #3, FARGO, ND 58103
(701) 234-0057
(701) 234-0422

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
646
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010594
ND
01
19397
BLUE CROSS & BLUE SHIELD
ND
Enumeration date
12/05/2006
Last updated
03/29/2012
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