Individual
DENNIS HAUGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA-C
Contact information
Practice address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 692-1062
Mailing address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 692-1062
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
11/22/2009
Last updated
09/27/2012
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