Individual
HANNAH HAACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
921 E HIGHWAY 36, SMITH CENTER, KS 66967-9582
(785) 282-6834
(785) 282-3793
Mailing address
1010 N. KANSAS, WCGME, WICHITA, KS 67214
(316) 962-3030
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-36014
KS
207Q00000X
Family Medicine Physician
7760
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201094960B
—
KS
Enumeration date
07/01/2011
Last updated
08/30/2018
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