Individual
DR. HOLLY L HAKE-HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
211 N EDDY ST, SOUTH BEND, IN 46617-2808
(574) 237-9231
(574) 237-9208
Mailing address
211 N EDDY ST, SOUTH BEND, IN 46617-2808
(574) 237-9231
(574) 237-9208
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01035334A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100090170
—
IN
Enumeration date
10/25/2005
Last updated
02/04/2015
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