Individual
MICHAEL HAAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
8170 33RD AVE S # MS 21111B, BLOOMINGTON, MN 55425-4516
(952) 967-7315
Mailing address
13240 MANKATO ST NE, MINNEAPOLIS, MN 55449-4980
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117029
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117029
MN STATE PHARMACY LICENSE
MN
Enumeration date
12/08/2020
Last updated
12/08/2020
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