Individual
THEODORE VINCENT HAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1005 PENNSYLVANIA AVE, STE 204, OTTUMWA, IA 52501-6414
(641) 682-8761
(641) 682-2764
Mailing address
1005 PENNSYLVANIA AVE, STE 204, OTTUMWA, IA 52501-6414
(641) 682-8761
(641) 682-2764
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20687
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0173138
—
IA
Enumeration date
06/08/2005
Last updated
11/08/2007
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