Individual
MARK ISADORE HAINER
Active
Individual
MARK ISADORE HAINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
DOS-843
HI
207RC0000X
Cardiovascular Disease Physician
OP60194415
WA
207RI0011X
Interventional Cardiology Physician
Primary
OP60194415
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0940HA
REGENCE BLUESHIELD
—
05
—
1255314944
—
WA
Enumeration date
11/28/2005
Last updated
04/28/2019
Update your record
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