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Individual

MS. KRISTEN MARIE HAUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2100 E 93RD ST, CLEVELAND, OH 44106
(216) 445-4500
Mailing address
2100 E 93RD ST, CLEVELAND, OH 44106
(216) 445-4500

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003564
OH
363AS0400X
Surgical Physician Assistant
104176
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
187172
MEDCOST
NC
Enumeration date
03/01/2006
Last updated
10/31/2017
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