Individual
DAN HAACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
25945 GATEWAY DR, ZIMMERMAN, MN 55398-5300
(763) 856-6930
(763) 856-6933
Mailing address
11172 191ST AVE NW, ELK RIVER, MN 55330-2803
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5021
MN
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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