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Individual

RICHARD A HAAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD PHD

Contact information

Practice address
1249 W LIEBAU ROAD, SUITE 104, MEQUON, WI 53092-3333
(262) 243-1244
(262) 243-1251
Mailing address
4555 WEST SCHROEDER DRIVE, SUITE 170, MILWAUKEE, WI 53223
(414) 365-3210
(414) 365-3225

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
21702020
WI
208VP0000X
Pain Medicine Physician
Primary
21702020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30337800
WI
Enumeration date
06/07/2006
Last updated
03/31/2008
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