Individual
HEATHER MAE HAUG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
109 W JAYNE ST, UIHC LONE TREE FAMILY PRACTICE, LONE TREE, IA 52755-0417
(319) 629-4214
(319) 629-4619
Mailing address
200 HAWKINS DR, UNIVERSITY OF IOWA HOSPITALS & CLINICS, IOWA CITY, IA 52242-1009
(319) 629-4214
(319) 629-4619
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1393
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43592
WELLMARK BCBS
IA
01
—
44296
WELLMARK BCBS
IA
Enumeration date
10/06/2005
Last updated
07/08/2007
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