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Individual

MR. PATRICK L HAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1407 E CHERRY ST, VERMILLION, SD 57069-2602
(605) 624-7246
(605) 624-7177
Mailing address
1407 E CHERRY ST, VERMILLION, SD 57069-2602
(605) 624-7246
(605) 624-7177

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0948
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11614
AVERA HEALTH PLANS
SD
01
4996341
WELLMARK BCBS
SD
05
5834972
SD
01
PT0948
DAKOTACARE
SD
Enumeration date
11/20/2006
Last updated
10/19/2007
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