Individual
BRIAN DOUGLAS HAAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
9140 HIGHWAY 51 N, SOUTHAVEN, MS 38671-1233
(662) 280-8222
(662) 280-5541
Mailing address
PO BOX 740209, DEPT 40038, ATLANTA, GA 30374-0209
(941) 360-1566
(941) 358-9818
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN A810134
MS
Other
Enumeration date
04/05/2006
Last updated
07/10/2009
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