Individual
DR. PHILLIP CARL HAECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 BOREN AVE, SUITE 1650, SEATTLE, WA 98104-3595
(206) 464-0873
(206) 467-7351
Mailing address
901 BOREN AVE, SUITE 1650, SEATTLE, WA 98104-3595
(206) 464-0873
(206) 467-7351
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00020989
WA
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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