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Individual

JULIE M HAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
44 BINNEY STREET, BOSTON, MA 02115
(617) 632-5042
Mailing address
44 BINNEY ST, BOSTON, MA 02115-6013
(617) 632-5042

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35682
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0052312
MT
05
0946921
IA
01
1000156
PREFERRED ONE
MN
01
100962
U CARE
MN
01
1200560
MEDICA-CHOICE
MN
01
768150
ARAZ
01
92541UN
BLUE CROSS BLUE SHIELD
MN
05
958707100
MN
01
HP13484
HEALTH PARTNERS
MN
Enumeration date
09/26/2006
Last updated
03/09/2010
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