Individual
DR. MICHAEL R. HAAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1021 MOREHEAD MEDICAL DR, CHARLOTTE, NC 28204-2839
(704) 355-2272
(704) 355-1865
Mailing address
200 QUEENS RD, SUITE 400, CHARLOTTE, NC 28204-3252
(704) 333-7376
(704) 333-3397
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
14729
SC
2085R0001X
Radiation Oncology Physician
Primary
31025
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021929009
CIGNA
NC
01
—
2086252
UNITED HEALTHCARE
NC
01
—
26022
PARTNERS
NC
01
—
37998
BLUE CROSS
NC
01
—
62132
MEDCOST
NC
05
—
8937998
—
NC
05
—
N31025
—
SC
Enumeration date
03/20/2006
Last updated
12/19/2012
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