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Individual

THOMAS H HAUGEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 384-9605
(319) 384-9613
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 384-9605
(319) 384-9613

Taxonomy

Speciality
Code
Description
License number
State
207ZM0300X
Medical Microbiology Physician
Primary
27127
IA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
27127
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0248385
IA
01
06851
WELLMARK BCBS
IA
01
10378
WELLMARK BCBS
IA
Enumeration date
10/06/2005
Last updated
12/04/2007
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