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Individual

ANTHONY BERNARD HASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
375 WEST ISLE STREET, ISLE, MN 56342-2640
(320) 676-3661
(320) 676-4011
Mailing address
200 ELM ST N, ONAMIA, MN 56359-7901
(320) 532-3154
(320) 532-3111

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2280
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
231223
CCMI
05
279727500
MN
01
3C131HA
BCBS
Enumeration date
09/21/2006
Last updated
09/08/2014
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