Individual
DR. PHILIP HARDWICK HALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8290 UNIVERSITY AVE NE, SUITE 200, FRIDLEY, MN 55432-1847
(763) 786-9543
(763) 786-3320
Mailing address
1017 W RIVER PKWY, CHAMPLIN, MN 55316-1039
(763) 421-3088
(763) 421-3088
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
19477
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
636283400
—
MN
Enumeration date
07/18/2006
Last updated
08/29/2008
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