Individual
DR. TAGE HAASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
484 GOLDEN AUTUMN WAY STE 201, BOWLING GREEN, KY 42103-6913
(270) 783-3307
(270) 780-0491
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1759
(270) 781-5111
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
38300
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64064025
—
KY
Enumeration date
06/09/2005
Last updated
05/13/2019
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