Individual
TERRY LANE HASKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1050 W PERIMETER RD, 79 AMDS, ANDREWS AFB, MD 20762-6601
(240) 857-5972
Mailing address
1050 W PERIMETER RD, 79 AMDS, ANDREWS AFB, MD 20762-6601
(240) 857-5972
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
4301052753
MI
2083X0100X
Occupational Medicine Physician
4301052753
MI
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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