Individual
JOHN HAASTRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
912 N KENTUCKY AVE # A16, MADISONVILLE, KY 42431-1663
(270) 825-0813
Mailing address
912 N KENTUCKY AVE # A16, MADISONVILLE, KY 42431-1663
(270) 825-0813
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301091214
MI
Other
Enumeration date
02/01/2008
Last updated
02/20/2008
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