Individual
DR. EDWARD A HAAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
44 MAIN ST STE 200, RICHFORD, VT 05476-1141
(802) 255-5580
(802) 255-5589
Mailing address
44 MAIN ST STE 200, RICHFORD, VT 05476-1141
(802) 255-5581
(802) 255-5589
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
032.0000334
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001761
—
VT
Enumeration date
07/05/2006
Last updated
04/17/2018
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