Individual
DR. BRIAN W HAAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6620 PARKDALE PL, SUITE N, INDIANAPOLIS, IN 46254-5620
(317) 244-7160
(317) 244-7166
Mailing address
6620 PARKDALE PL, SUITE N, INDIANAPOLIS, IN 46254-5620
(317) 244-7160
(317) 244-7166
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01028599A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020010156
MEDICARE RAIL ROAD
—
01
—
020039695
MEDICARE RAIL ROAD (IU HEALTH)
IN
05
—
100189930
—
IN
Enumeration date
06/20/2006
Last updated
05/04/2015
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