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Individual

DR. MARK ALLEN HAEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
113 W HICKORY ST, NEOSHO, MO 64850-1705
(417) 451-1234
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2019040982
MO

Other

Enumeration date
08/17/2010
Last updated
06/07/2023
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