Individual
DR. BRETT ERIC HAUGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3655 VISTA AVE, SAINT LOUIS, MO 63110-2539
(314) 577-8000
Mailing address
3655 VISTA AVE, SAINT LOUIS, MO 63110-2539
(314) 577-8000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2012021733
MO
390200000X
Student in an Organized Health Care Education/Training Program
2009016024
MO
Other
Enumeration date
07/10/2009
Last updated
07/29/2013
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