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Organization

WOLFGANG H. HAESE, M.D.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WOLFGANG H. HAESE M.D. (OWNER)
(505) 373-8415
Entity
Organization

Contact information

Practice address
532 N TELSHOR BLVD, SUITE G, LAS CRUCES, NM 88011-8234
(505) 373-8415
(505) 373-8416
Mailing address
532 N TELSHOR BLVD, SUITE G, LAS CRUCES, NM 88011-8234
(505) 373-8415
(505) 373-8416

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000H1426
NM
Enumeration date
10/31/2007
Last updated
09/12/2008
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