Individual
DR. BRIAN PATRICK HAUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
234 HOSPITAL DR, UKIAH, CA 95482-4560
(707) 463-7356
Mailing address
2012 CASTRO ST, SAN FRANCISCO, CA 94131-2223
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
21151
NH
207RG0100X
Gastroenterology Physician
Primary
C50233
CA
207RG0100X
Gastroenterology Physician
MD23620
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3126200
—
NH
05
—
GR0025670
—
CA
Enumeration date
08/18/2006
Last updated
09/22/2021
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