Individual
DR. GARY A HAAKENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2417 ATRIUM DR, SUITE 200, RALEIGH, NC 27607-6673
(919) 781-9555
(919) 781-1070
Mailing address
2417 ATRIUM DR, SUITE 200, RALEIGH, NC 27607-6673
(919) 781-9555
(919) 781-1070
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
22477
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07-52517
UNITED HEALTHCARE
—
01
—
1622677
FIRST HEALTH
NC
01
—
3149986
CIGNA
—
01
—
37989
BCBS OF NC
NC
01
—
4290905
AETNA
NC
05
—
8937989
—
NC
01
—
A4032
MEDCOST
NC
Enumeration date
08/20/2006
Last updated
07/08/2007
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