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Individual

GERALD WILLIAM HAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6 EAST WILLIAMSBURG ROAD, SANDSTON, VA 23150
(804) 737-1878
(804) 737-0204
Mailing address
6 EAST WILLIAMSBURG ROAD, SANDSTON, VA 23150
(804) 737-1878
(804) 737-0204

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101039097
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
035565
ANTHEM
VA
Enumeration date
07/10/2006
Last updated
02/11/2008
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