Individual
MARK HAEGELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4512 KIRKWOOD HWY STE 202, WILMINGTON, DE 19808-5122
(302) 999-0137
(302) 999-1042
Mailing address
4512 KIRKWOOD HWY STE 202, WILMINGTON, DE 19808-5122
(302) 999-0137
(302) 999-1042
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C2-0003560
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000912203
—
DE
Enumeration date
06/15/2006
Last updated
03/16/2014
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