Individual
DR. GERARD DONALD HAGGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
416 N. SEMINARY STREET, STE 3100, FLORENCE, AL 35630
(256) 766-8667
(256) 767-5327
Mailing address
416 N. SEMINARY STREET, STE 3100, FLORENCE, AL 35630
(256) 766-8667
(256) 767-5327
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
00006975
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009996990
—
AL
01
—
100016505
PALMETTO GBA
AL
01
—
4042119
BLUE CROSS BLUE SHIELD TN
TN
Enumeration date
04/08/2006
Last updated
01/17/2023
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