Individual
ELLEN M HAUPTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16935 14TH AVE NW, SHORELINE, WA 98177-3840
(952) 595-1100
(612) 294-4903
Mailing address
11995 SINGLETREE LN, STE 500, EDEN PRAIRIE, MN 55344-5347
(952) 595-1301
(612) 294-4903
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
306861
LA
2085R0202X
Diagnostic Radiology Physician
Primary
MD00028563
WA
Other
Enumeration date
11/12/2006
Last updated
04/15/2019
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