Individual
DR. MELINDA M. HASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 JOHN DEERE RD, SUITE 308, MOLINE, IL 61265-6869
(309) 779-4850
(309) 779-4855
Mailing address
600 JOHN DEERE RD, SUITE 308, MOLINE, IL 61265-6869
(309) 779-4850
(309) 779-4855
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036104809
IL
208600000X
Surgery Physician
34185
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036104809
—
IL
01
—
P01238938
RR MEDICARE
IL
Enumeration date
03/02/2006
Last updated
02/05/2015
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