Individual
GREGORY ALAN HAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7595 ANAGRAM DR, EDEN PRAIRIE, MN 55344-7399
(612) 573-2200
(612) 573-2274
Mailing address
7595 ANAGRAM DR, EDEN PRAIRIE, MN 55344-7399
(612) 573-2200
(612) 573-2274
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2012-00617
NC
2085R0202X
Diagnostic Radiology Physician
Primary
39638
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0762633
—
IA
01
—
124717
UCARE
MN
01
—
1376558205
DAKOTA CARE
MN
01
—
1604662
MEDICA
MN
01
—
253016
MIDLANDS CHOICE INC
MN
01
—
343C1HA
BLUE COSS AND BLUE SHIELD OF MN
MN
01
—
415
AMERICA'S PPO
MN
05
—
43538000
—
WI
01
—
61477HA
BLUE CROSS AND BLUE SHIELD OF MINNESOTA
MN
05
—
636518300
—
MN
01
—
960371014447
PREFERRED ONE
MN
01
—
HP25845
HEALTHPARTNERS
MN
01
—
P00377639
RAILROAD MEDICARE MN
MN
Enumeration date
07/29/2006
Last updated
01/26/2026
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