Individual
KURT HAISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60676982
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336592021
—
WA
01
—
P01707750
RR PTAN WVH
WA
Enumeration date
07/18/2016
Last updated
06/22/2022
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