Organization
MIDLANDS RADIATION ONCOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE A HAESSLER M.D. (OWNER)
(712) 396-4429
Entity
Organization
Contact information
Practice address
933 E PIERCE ST, COUNCIL BLUFFS, IA 51503-4626
(712) 396-4429
Mailing address
PO BOX 540158, OMAHA, NE 68154-0158
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445387
—
IA
Enumeration date
06/03/2006
Last updated
10/11/2007
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