Individual
MR. RUSSELL ALAN HAUGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
600 EAST BLVD, ELKHART, IN 46514-2483
(574) 524-8130
(574) 524-8138
Mailing address
4864 CROWN LN, WOODBURY, MN 55129-8900
(651) 459-8513
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
120711-6
MN
367500000X
Certified Registered Nurse Anesthetist
28195266A
IN
367500000X
Certified Registered Nurse Anesthetist
4677
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0267
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201026230
—
IN
Enumeration date
04/05/2006
Last updated
04/08/2025
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