Individual
CHARLES J. HAEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1443 N ROBBERSON AVE, #1001, SPRINGFIELD, MO 65802-1928
(417) 269-3858
(417) 269-3821
Mailing address
3800 S NATIONAL AVE, #540, SPRINGFIELD, MO 65807-5209
(417) 269-6262
(417) 269-4349
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31463
MO
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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