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Individual

DR. PETER JOSEPH HAIBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
136 FURMAN RD, SUITE 7, BOONE, NC 28607-5038
(828) 262-0060
(828) 262-0062
Mailing address
136 FURMAN RD, SUITE 7, BOONE, NC 28607-5038
(828) 262-0060
(828) 262-0062

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27800
NC
207R00000X
Internal Medicine Physician
MD0000013321
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
38193
BCBS NC
NC
05
4176480
TN
05
8938193
NC
01
98499
BCBS TN
TN
Enumeration date
07/03/2006
Last updated
07/08/2007
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