Individual
DEANNE HAAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
44 CENTER ST, ENOSBURG FALLS, VT 05450-5795
(802) 527-8189
(802) 524-7892
Mailing address
600 BLAIR PARK RD STE 285, WILLISTON, VT 05495-7586
(802) 288-1140
(802) 288-1144
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
042-0010358
VT
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
0420010358
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008802
—
VT
01
—
58746
BLUE CROSS BLUE SHIELD
VT
Enumeration date
03/01/2007
Last updated
06/30/2023
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